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10.07 LGS LOAD TICKETSDEBRIS LOAD TICKET DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: (CLIENT �y �� MP -3000- 26(114 ) /306191301 DISASTER NO: TKT � NAME: MP -300D- 82(115)/306191302 CM113000 2 6 1141 NO. O CONTRACTOR z NAME: p V oDROVER + , TRAILER /TRUCK NO: (assigned) MEASURED CAPACITY: ACTUAL LOAD QUANTITY: ^"7 �" NAME: -�\Jf _ ITEM 202 -8116 1Y f fw LOADING 1 LOADING TIME: m �/r} c Y �^"w� -. DATE: / w w VEGETATIVE am /Pm7 VJ C &D ° LOADING LOADING p LOCATION: '� /� N ZONES, m FIELD MONITOR: FIELD MONITOR: OTHER (please print) (please sign) u«ui idrj— ancery -c engcary,srcte,counMetcj YELLOW -Cnntroctor PfNK -FEMA GOLDENROD -Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL cc ` DATE: TIME: 0 I' I am /pm O REDUCTION /DISPOSAL E q : CLIENT REPRESENTATIVE; SITE LOCATION: T"T. pplicable) w ACTUAL LOAD QUANTITY: ^"7 �" �� Q ITEM 202 -8116 1Y f 0 CD w VEGETATIVE C &D ° DEBRIS TYPE WHITE GOODS OTHER o w "' a SMALL IF p +.2 STUMPS 'MEDIUM LARGE m 0 1— D15POSAL SITE MONITOR: DISPOSAL SITE MONITOR: (please print) (plea. sign) u«ui idrj— ancery -c engcary,srcte,counMetcj YELLOW -Cnntroctor PfNK -FEMA GOLDENROD -Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: j(please print) (please sign) Q z Z CLIENT REPRESENTATIVE; CLIENT REPRESENTATIVE; lease (P print) _ ,(please sign) u«ui idrj— ancery -c engcary,srcte,counMetcj YELLOW -Cnntroctor PfNK -FEMA GOLDENROD -Driver Looks , 1 Great110111'. Services', • mr— If If SITE If. SITE LOCATION: �() Cy �.-" % TONS ACiNAL LOAD QUANTITY- 25� FULL: (if appikahieL { VEGETATIVE C & D' DEBRIS TYPE WHITE GOODS OTHER SMALL rI STUMPS MEDIUM tt LARGE u LS SITE MONITOR: DLWA ALSITEMONROR: ( please sisn7 L,- i - - _, PRIME CONTRACTOR REPRESENTATIVE: ME CONTRACTOR REPRESENTATIVE: iPleasa PSI Ivies VV) CLIENT REPRESENTATIVE: (please print) p. d 1 wmnr -grime Contactor Offke GREEN{iient(utystatecounMetc.) YEIdD4V- Contractor PINK -FEMA GOLDENROD - Driver DEBRIS LOAD TICKET DEBRIS STAG ING /REDUCTION {DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: CLIENTA %��n�` MP -3000- 26(1141/305191301 DISASTER NO: TKT r CMP�1 IND. 9 x NAME: �'T'E'�/' -#- MP- 3000 - 82(115) J305191302 fib,' =J 0 CONTRACTOR Z CD NAME: w DRIVER Ja NAME: TRAILERITRUCK /NO:: (assigned) MEASURED CAPACITY: u. QLOADING 1 CY ACTUAL LOAD QUANTITY: IMLOADING w DATE: 10/7 / 1 1 T ip 0 LOADING Q {� _) LOCATION: j7 � SV iW S� /Lv �1 LOADING ZONE: „0 �r � C - ?{j J wm FIELD MONITOR: FIELD MO+,NITO' 0 (please print) n n (please sign) PI DEBRIS STAG ING /REDUCTION {DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL {please sign] _ j DATE:. TIME: 4XIbip 0 I am /pm Z REDUCTION /DISPOSAL SITE #: 0 SITE LOCATION: (if applicable) w ACTUAL LOAD QUANTITY: TO 4 ITEM 202.6116 ®� f 0 VEGETATIVE C & D DEBRIS TYPE m WHITE GOODS OTHER w e- SMALL a o V STUMPS MEDIUM LARGE m 0 DISPOSAL SITE MONITOR: J ,DISPOS {please prAptj PI WNNE -vorne Contractor Office GRE EN- Client(city,State,county,etc.) YELLOW - Contractor PINK -FFMA GOLDENROD- Driver m PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: � (please print), {please sign] a z w CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: a pll^eea�se print) (j4' r (please si n) w w I r PU/ WNNE -vorne Contractor Office GRE EN- Client(city,State,county,etc.) YELLOW - Contractor PINK -FFMA GOLDENROD- Driver m Looks , 1 t Great .. Services ► - - -- - PRIME CONTRACTOR REPRESENTATIVE: REDUCTION /DISPOSAL )please print) SRE p; CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: SITE LOCATION: _ (please sign) (if applicable) %" WHITE -)rime Controctor Office .a' ° CY ACTUAL LOAD Qt1.ANTITY; % TOMS _. _ FULL. (if applicable) VEGETATIVE C & D DEBRIS TYPE WHITE GOODS OTHER SMALL 11 a MEDIUM TI o STUMPS u LARGE 11 DISPOSAL. SITE MONITOR: DISPOSAL SITE MONITOR: (please print) (Please sign) PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE; )please print) Ipeease sign) CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: (please print) _ (please sign) %" WHITE -)rime Controctor Office GREEN- CTient(city,stete,county,etc.J YELLOW- Conimctor PINK -FEMA GOLDENROD - Driver DEBRIS LOAD TICKET �� •. n,r� -ruuir �urrtrut,wr vJfwce 6Kt &N-Ulenrl[1Cysrofe;countyet£.J MELLOW- Contractor PINK -FEMA GOLDENROD- Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL 5 J / TIME: DATE. TIME- ! O 0 ! REDUCTION /DISPOSAL SITE N: SITE LOCATION: (itapplicable) 7, ACTUAL LOAD QUANTITY: V r° C n TO Q ITEM 202 -0116 I S O a VEGETATIVE C & D DEBRIS TYPE WHITE GOODS OTHER d SMALL a O u STUMPS MEDIUM m O LARGE r— DISPOSAL SITE MONITOR: DISPOSAL SITS M (Please Print) •. n,r� -ruuir �urrtrut,wr vJfwce 6Kt &N-Ulenrl[1Cysrofe;countyet£.J MELLOW- Contractor PINK -FEMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: j(please print) (please sign) Q z 2 CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: a{please print) r; (fpilesn) •. n,r� -ruuir �urrtrut,wr vJfwce 6Kt &N-Ulenrl[1Cysrofe;countyet£.J MELLOW- Contractor PINK -FEMA GOLDENROD- Driver DEBRIS LOAD TICKET CU €NT �� MP- 3000 - 26(114)/306191341 DISASTER NO: NAME: M MP•3000- 8211151/306191302 CMP3000261141 w O CONTRACTOR z NAME: C3 DRIVER t� � NAME: m LOADING 7 J DATE: I D I w !!! r LOADING Q LOCA710N; loo Q' � PY W w © t U l O w m FIELD MONITOR: Q /(please pprinnttt)), r' NO: (assigned) I MEASURED CAPACITY: LOADING s /�► /// ZONE: S FIELD MONITOR: (please sign), r�I ti F 1 1. _ DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL 0 DATE : , I TIME: E7 W - am /pm LIP i O REDUCTION /DISPOSAL SITE #; SITE LOCATION: (if applicable) w Q ACTUAL LOAD QUANTITY: CY ITEM 202 -8116 TONS q w z a VEGETATIVE C & D DEBRIS TYPE WHITE GOODS OTHER a w SMALL a o u STUMPS MEDIUM m LARGE �r a E- DISPOSAL SITE MONITOR: f4ITOR: {pleas rint) ea* sr i F 1 1. _ ••••••_- •,,___„«�<<�, X11,== uno�n- wengcrrysrnre,caunry,er�y YELLOW- Contructor PINK -FEMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: n (please print) ),please sign) a z z y CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: W (Please print) (please sign( w z ••••••_- •,,___„«�<<�, X11,== uno�n- wengcrrysrnre,caunry,er�y YELLOW- Contructor PINK -FEMA GOLDENROD- Driver F . 1 Ies ,t • CLIENT NO: PRIME CONTRACTOR REPRESENTATIVE; TKT iJ `J `. NAME: SITE LOCATION: �Q- NO. CONTRACTOR' w ACTUAL LOAD QUANTITY: NAME ; % (please print) DRIVER - I ��j/ + { �f TRAILER/TRUCK NO: (assigned) MEASURED CAPACITY: NAME: _rS L I F7,J_d Oil j C I v LOADING LOADING VEGETATIVE / DATE: i i.. / / TIME: am /pm r;' ' E E LOADING �A LOCATION: - LOADING ZONE: FIELD MONITOR: WHITE GOODS FLELD MONITOR: (please print) y REDUCTION /DISPOSAL PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE; SITE M: (please print) SITE LOCATION: �Q- (if applicable) w ACTUAL LOAD QUANTITY: CLIENT REPRESENTATIVE: % (please print) TONS FUEL: (if applicable) VEGETATIVE C & D DEBRIS TYPE WHITE GOODS OTHER SMALL tY STUMPS MEDIUM II LARGE If DISPOSAL SITE MONITOR: DISPOSAL SITE MONITOR: s� (please print) (Please sign) WHITE -Crime Contractor Office GREEN - Clieni(ciry,state,cmnly, etc.) YELLOW- Contmctor PINK -fEMA GOtDEIVROD -Onver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE; (please print) [please sign) �Q- w CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: N °i (please print) (please sign) WHITE -Crime Contractor Office GREEN - Clieni(ciry,state,cmnly, etc.) YELLOW- Contmctor PINK -fEMA GOtDEIVROD -Onver Looks . I t Great.. � Services- CLIENT PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: (please printl (please sign) CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: (please print) (Please sign) WHITE -Prime Contractor Office GREEN- Ctient(city,sroremunty,etc.) YELLOW- Contractm PINK -FEMA GOLDENROD - Driver Pp. TKT NAME: _ _`� M1 am/Pm _ NO.. CONTRACTOR NAME: -. SITE LOCATION: DRIVER - (R applicable) TRAILERtMUOC NO: (asslgnedl MEASURED CAPAQTY: AM `.: .r LOADING _ i 17 LOADING �e JL CY TIME: �y T,of `S —1 DATE: ` FULL: If/ , i am /pm LOADING C & D LOADING "�• IOCATiON: �� ZONE: -- .- ,,.`]� • /a/�tr V'E• /r —_ FWDIMOWrroR.- FIELD (Plaasa Pdrd) (Plasm I110m) ou 11A L , j"'w, PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: (please printl (please sign) CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: (please print) (Please sign) WHITE -Prime Contractor Office GREEN- Ctient(city,sroremunty,etc.) YELLOW- Contractm PINK -FEMA GOLDENROD - Driver It TIME p DATE:M gf J-7 7 M1 am/Pm REDUCTION /DISPOSAL SITE g; -. SITE LOCATION: (R applicable) ACTUAL LOAD Cy % TONS ...,. QUANTITY: f +4 FULL: (R applicable) VEGETATIVE C & D DEBRIS TYPE WHITE GOODS OTHER SMALL It STUMPS MEDIUM LARGE Ir DISPOSAL SITE MONITOR: DISPOSAL SITE MONITOR: (Please print) F jpksse sign) PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: (please printl (please sign) CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: (please print) (Please sign) WHITE -Prime Contractor Office GREEN- Ctient(city,sroremunty,etc.) YELLOW- Contractm PINK -FEMA GOLDENROD - Driver vvre ft. -Mme Contractor PJ17ce GREEN- Cfient(citystote,munty,etCj YELLOW - Contractor PINK -F €MA GOLDENROD - Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE DEBRIS LOAD TICKET ARRIVAL ARRIVAL CLIENT n� `T MP-3000-26(114)1306191301 DISASTER NO: TKT DATE: F NAME: MP- 3000.92(11S)/306191302 CIVIP30M261141 NO. d CONTRACTOR SITE LOCATION: (if applicable) 2 NAME: TONS Q ITEM 202 -8116 L a N DRIVER h _,y� TRAILER/TRUCK NO: (assigned) MEASURED CAPACITY: w NAME: j VEGETATIVE r m LOADING CY LOADING DATE: ! /o/ TIME: 7 F_ _ j J am /pm Z. LOADING LOADING] p 0 LOCATION: ZONE: SMALL m tt FftLD M NTTOR: STUMPS ELD MONITOR: 0 � (please PH ,� u LARGE " m O _l vvre ft. -Mme Contractor PJ17ce GREEN- Cfient(citystote,munty,etCj YELLOW - Contractor PINK -F €MA GOLDENROD - Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR. REPRESENTATIVE: ARRIVAL ARRIVAL O J TIME: DATE: F ,/ j am /pm Z REDUCTION /DISPOSAL SITE li: SITE LOCATION: (if applicable) CLIENT REPRESENTATIVE: ACTUAL LOAD QUANTITY: :- CY TONS Q ITEM 202 -8116 L r� N VEGETATIVE C & D ° DEBRIS TYPE WHITE GOODS OTHER 1c n w SMALL tt a o STUMPS MEDIUM u LARGE " m O a- D%6 CISAL SITE MONITOR: . WPOSAL SITE MONITOR: u Pl e p. t) fjY f(pleagesignl l vvre ft. -Mme Contractor PJ17ce GREEN- Cfient(citystote,munty,etCj YELLOW - Contractor PINK -F €MA GOLDENROD - Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR. REPRESENTATIVE: uw (please print) (please sign) 3 H q F Z CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: cc CL (please pent) (pjp,e sign] � r� 1 - 7 vvre ft. -Mme Contractor PJ17ce GREEN- Cfient(citystote,munty,etCj YELLOW - Contractor PINK -F €MA GOLDENROD - Driver DEBRIS LOAD TICKET 1 r / DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL / AC (please sign) DATE: J TIME: O Mfr I //J am pm it Z REDUCTION /DISPOSAL Sip; O 2 SITE LOCATION: (if applirablel W ,—ten ACTUAL LOAD QUANTITY: CY TON S ITEM 202 -I3YY6 ua 0 >' '�EGETATIVE C & D ° DEBRIS TYPE WHITE GOODS OTHER mo w SMALL �I a o u STUMPS MEDIUM II m 0 `L LARGE + Ir J.- DISPO SITE MONITOR: I D SAL OR: (Pleas rint) - r / wtert - rnmeLontractor VIPCe GREEN- Cfient(dtystotecounMetc.) YELLOW -Coatroctor PINK -FFMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: 7 (please print) (please sign) F a z z ,w CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: CL (please print) sign) 6jPI9'ase wtert - rnmeLontractor VIPCe GREEN- Cfient(dtystotecounMetc.) YELLOW -Coatroctor PINK -FFMA GOLDENROD- Driver hooks ,1 Great Services - • CLIENT NAME: NO L TKT r Cy 1' NQ - CONTRACTOR !, / (if apPlCa41e) NAME: Ijy: DRIVER `M � /� �/ TRAILFRMUCI(NO: (assigned) MEASURED CAPACITY: NAME: r('j7ji(\ i] VEGETATIVE , f LOADING 1 / 7 �/''� LOADING // Cy TIME: • Fa � -1# L DATE: l /7 / - L am/pm LOADING IOTHER LOADING _5�T )J. LOPJ4TIOH: !t 1 ZONE: 1"! RElO MOlATOR: FIELD MONITOR: STUMPS (P M&Imon (pkue sign) REDUCTION /DISPOSAL SITE C SITE LOCATION: '(ii applici6le) Cy fit, ACTUAL LOAD QUANTITY': 1 FULL: FULL, (if apPlCa41e) VEGETATIVE C & D o DEBRIS TYPE WHITE GOODS IOTHER SMALL u STUMPS MEDIUM LARGE tl DISPOSAL SITE MONITOR: DISPOSAL SITE MONITOR: (please print) % (please sign) YELLOW- Contractor PINK -FFMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: (please print) PRIME CONTRACTOR REPRESENTATIVE: (please sign) CLIENT REPRESENTATIVE: /(ppleya�see print) CLIENT REPRESENTATIVE: (please sign) 4 e' WHnI -Prime Contractor Office GREEN- Chent(tity,state,caunr), etc.) YELLOW- Contractor PINK -FFMA GOLDENROD- Driver DEBRIS LOAD TICKET DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL (Please sign) CLIENT w v� MP- 3000 - 26(114) / 306191301 NAME: DISASTER NO: TKT '] h t— z MP- 3000 - 82(115) / 3061913D2 �1 NO. f l L O 0 CONTRACTOR ACTOR SITE LOCATION: NAME: C7 ACTUAL LOAD QUANTITY: � GDRIVER TRAILER /TRUCK NO: (assigned) MEASURED CAPACITY: Lu NAME: m LOADING LOADING CY >j .,Js TIME}, DATE: // O / / I w am)F pm , p LOADING ppp�� LOCATION: 170 — 9 • / 51 (,.: 1 LOADING ZONE: , . a _1 Y V m FIELD MONITOR: FIELD MON VEGETATIVE (please print) e l f! f�7 r, {please ) '1 >!? } t3 R _... rrn�i[- rrr.rnr lvnrratror yg7ce [ iNttN- L lien t(CIty;State,countyetc.J-'— YELLOW- Cantrartor PINK -FEMA GOLDENROD - Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL (Please sign) DATE: , TIME: F- t— z am /pm Q REDUCTION /DISPOSAL SITE K: CL NT REPRfS TIVE: SITE LOCATION: (if applicable) w N ACTUAL LOAD QUANTITY: � �� G ITEM 26Z -116 �il�l �J ICJ 'n a VEGETATIVE C & D } DEBRIS TYPE WHITE GOODS OTHER W SMALL " Li o v STUMPS MEDIUM on LARGE " 0 F— DISPOSAk.SITE MONITOR: DISPOSAL SITE MONITOR: (phase pUcO - (please sign) f r rrn�i[- rrr.rnr lvnrratror yg7ce [ iNttN- L lien t(CIty;State,countyetc.J-'— YELLOW- Cantrartor PINK -FEMA GOLDENROD - Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: w w 3 (please print) (Please sign) F 4 t— z Ln CLIENT REPRESENTATIVE: CL NT REPRfS TIVE: � (please print) a z �il�l �J ICJ rrn�i[- rrr.rnr lvnrratror yg7ce [ iNttN- L lien t(CIty;State,countyetc.J-'— YELLOW- Cantrartor PINK -FEMA GOLDENROD - Driver Looks w4k 1 4 r Great , 10 Services, Inc. DEBRIS LOAD TICKET DEBRIS STAGING /REDUCTION /DISPOSAL SITE CLIENT �� MP- 3000 - 26(114) / 306191301 DISASTER NO: •MKT ARRIVAL ARRIVAL NAME: MP- 3000.82111$) / 306181302 {MP3ROg240 M1 CIO. O CONTRACTOR _ Z NAME: O SITE k: O DRIVER TRAILER /TRUCK NO: (assigned) MEASURED CAPACITY: � NAME: �- 20Z•6116 D ( ... CY LOADING j1� $- A j J r.irr '- LOADING TIME: �! ! O $ DATE: I / l '.+, w fSY �l am /Pm l DEBRIS TYPE CL p LOADING I� i (} f LOCATION: QA.,� ZONt LOADING j��/yJ ,7�4} 20NE " -. f,42, 3 ? y/ m no OF FIELD MONITOR: ° FIELD MONITOR: ' m w (please print) i. l (please sign) WHITE GOODS i molt I jjne untm -L nengtrrgstate,county, etc,] YELLOW -Contractor PINK -FEMA GOLDENROD - Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL 0 T1111: DATE; f , /C / I= T am(pm O REDUCTION /OISPOSAL SITE k: 0 SITE LOCATION: (if applicable) w ACTUAL LOAD QUANTITY: CY print) G ..ITEM 20Z•6116 TONS O $ } VEGETATIVE C & D DEBRIS TYPE m w WHITE GOODS OTHER a SMALL n Cl u STUMPS MEDIUM m LARGE I1 O F- .DISPOSAL SITE MONITOR; IS Di$pOSA SITEWNITOR: please print} J _L1 I jjne untm -L nengtrrgstate,county, etc,] YELLOW -Contractor PINK -FEMA GOLDENROD - Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: > 7 (please print) (please sign) F z Z w CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: a(please print) I jjne untm -L nengtrrgstate,county, etc,] YELLOW -Contractor PINK -FEMA GOLDENROD - Driver C NAME: —} A 1 DRIVER I l 77 i NAME: LOADING y DATE: v ti.J LOADING f LOCATION: FIELD MONITOF j (please print( Looks %I Great QF!dw Services q, LOADING / ! 71ME: f amfpm (' LOADING j ZONE: I 94665" ;nedl MEASURED CAPACITY: i �Y RACTOR REPR (Please P6nt) LACTOR REPF {please sign) CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: {Please print) (please sign) WHITF -Prime Controctor Office GREEN- Clieat(city,state,county,etc.) YELLOW-CDntractor PINK -FEMA GOLDENROD-Dri -ee ARRIVAL ARRIVAL TIME:.. DATE : ` !7 amfpm REDUCTION f DISPOSAL SITE M: - SITE LOCATION; {i1 aPplica4lel Y Tams v, ACTUAL LOAD QUANTITY: • FUEL: {ff applicable) b w VEGETATIVE C & D DEBRIS TYPE WHITE GOODS OTHER � �o - - It �+ J SMALL 6 o STUMPS MEDIUM �t u LARGE t DISPOSAL SITE MONITOR: OW-OW SITE MONITOR: (pieaseprint) �- -' {please sign) RACTOR REPR (Please P6nt) LACTOR REPF {please sign) CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: {Please print) (please sign) WHITF -Prime Controctor Office GREEN- Clieat(city,state,county,etc.) YELLOW-CDntractor PINK -FEMA GOLDENROD-Dri -ee DEBRIS LOAD TICKET DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: CLIENT n� n/�T MP-3000-26(114)/306191301 DISASTER NO: TKT DATE: NAME: I r, QII�J J MP- 3000- 82{liS) / 306191302 C 3�2 NO. - - 0 ,CONTRACTOR Z d NAME: - CLIENT REPRESENTATIVE: DRIVER T� TRAILE`R/TRUCK NO: {assigned) MEASURED CAPACITY- -+ NAME: D - �- r 4' m `{ C i LOADING 10 201 -7 LOADING TIME: w W DATE: /7 / p LOADING jrt ,jj (sy j _ �. �(J A f LOADING i .LOCATION: u �r {�+jj-"f f + ZONE: .;1(5 • •q m FIELD MONITOR: FIELD MONITOR: O (please print) y� (please sl X WHITE GOODS OTHER rrrt�rc-rr —crocrur ujpce tiKEEN - LllentlCltv,Stote, Coonty,etc.) YELLOW -Contractor PINK -FEMA GOLDENROD- Priver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL (please sign) DATE: TIME: lam/pm r Z z 0 REDUCTION /DISPOSAL E4 CLIENT REPRESENTATIVE: SITE LOCATION: 71T applicable) W F—N ACTUAL LOAD QUANTITY: .^.,CY ITEM 202 -6116 L TONS - �- r 4' O VEGETATIVE C & D ° DEBRIS TYPE WHITE GOODS OTHER C° 0 W 4 SMALL 11 4 u STUMPS MEDIUM m LARGE O I— RISPOSAL SITE MONITOR: ///�� ' DISPOSAL SITE MONITOR: print) gn) rrplease t� � rrrt�rc-rr —crocrur ujpce tiKEEN - LllentlCltv,Stote, Coonty,etc.) YELLOW -Contractor PINK -FEMA GOLDENROD- Priver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: w 7 (please print) (please sign) H Y Z z CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: a (please print) ,.(Please sign). a - �- r rrrt�rc-rr —crocrur ujpce tiKEEN - LllentlCltv,Stote, Coonty,etc.) YELLOW -Contractor PINK -FEMA GOLDENROD- Priver DEBRIS LOAD TICKET -- wrarr- vnmeconrrocrar umce GREEN- Client(city,state , county,etc -. -- YELLOW- Contractor PINK -FEMA GOLDENROD- Drrwer DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE; ARRIVAL ARRIVAL (please sign) DATE: J/ TIME: 0 o z z am /pm 2 REDUCTION /DISPOSAL r SITE #: 2 � SITE LOCATION: (if applicable) W ACTUAL LOAD QUANTITY: CY TONS Q ITEM 202 -8116 a i` EGETATIVE C & D ° DEBRIS TYPE WHITE GOODS OTHER an W I- "' ii SMALL W STUMPS MEDIUM " LARGE n Co O DIS OSAL SITE MONITOR: PiSPOSAL SITE MONITOR: [please ptintj r ase s" 4 wrarr- vnmeconrrocrar umce GREEN- Client(city,state , county,etc -. -- YELLOW- Contractor PINK -FEMA GOLDENROD- Drrwer PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE; � . rint IP lease a ) (please sign) H St z z CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: a (please print) : - °(pleas �stgn) e: wrarr- vnmeconrrocrar umce GREEN- Client(city,state , county,etc -. -- YELLOW- Contractor PINK -FEMA GOLDENROD- Drrwer CLIENT TIME: DISASTER NO: TKT - NAME: SITE LOCATION: (it applicable) _ % TONS ACTUAL LOAD QUANTITY: • FULL: NO. CONTRACTOR VEGETATIVE C & O DEBRIS TYPE NAME - DRIVER NAME: �+ ��✓✓ rRAILER/TAUCR NO: (assigned' MEASURED CAPACITY: LOADING � r / � j+, �g CY LOADING TIME: DATE: ' / II LARGE am /pm. DISPOSAL SITE MONITOR: LLOCAT., (please Print) �- LOADING -. I ZONE: 928-30F FIELD MONITdR: FEW NIOIrfOR: (Please print) p— s yJ _..._.... __ , DATE: TIME: am %pm REDULT"/DISPOSAL SITE N: SITE LOCATION: (it applicable) - % TONS ACTUAL LOAD QUANTITY: • FULL: (M applicable) VEGETATIVE C & O DEBRIS TYPE WHITE GOODS OTHER SMALL u STUMPS MEDIUM II LARGE 11 DISPOSAL SITE MONITOR: DISPOSAL SITE MONITOR: (please Print) �- `-' '" Ipiease sign) PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: (please print) (please sign) CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE; (Please print) [Please sign) WHITE -Prime Contmctor Office GREEN- Ctient(city,state,county, etc.) YEL LOW- Controctw PINK-F €MA GOLDENROD- Driver Looks . 1 G reat.. Services m '' BRIE LOAD TICKS '= WHITE -Prime Contractor Office GREEN- Client(city,state,county,etc.) YELLOW Contractor PINK -FEMA GOLDENROD- Driver CLIENTy� NAME: DISASTER NO r^ w Q 0 33 ?-1 L7 u am /pm Z Z REDUCTION/DISPOSAL SITE M 1` ~ CONTRACTOR .- % 'SONS d Z NAME: (R applicable) w d O O O DRIVER �...,a TRAILER/TRUCK NO: (assigned( VEGETATIVE MEASURED CAPACITY: w NAME: ,,li'I ,�P+4,t . f jf CY �4. LOADING LOADING C3 DATE: 3 3 I / TIME: 3; u 1 am /pm LOADING !i LOADING O LOCATION: ZONE: STUMPS MEDIUM R" MOINIVIlm. u HELD MONITOR: LARGE {Pl — Pte) ! (Plew slip) rI 0 f ~ DISPOSAL SITE MONITOR: DISPOSAL SITE MONITOIj:F (please print) WHITE -Prime Contractor Office GREEN- Client(city,state,county,etc.) YELLOW Contractor PINK -FEMA GOLDENROD- Driver CTION /DISPO PRIME CONTRACTOR REPRESENTATIVE: r^ w (please print) DATf:AL TIME: ]ARRIVAL (-- j�'" � - L7 u am /pm Z Z REDUCTION/DISPOSAL SITE M SITE LOCATION: , (if applicable) N .- % 'SONS d ACTUAL LOAD QUANTITY: '�"wj' Cy FULL: (R applicable) w d O VEGETATIVE C & D o DEBRIS TYPE WHITE GOODS OTHER m �o�++ - !i SMALL Q STUMPS MEDIUM n u LARGE ! m 0 ~ DISPOSAL SITE MONITOR: DISPOSAL SITE MONITOIj:F (please print) (please sign) WHITE -Prime Contractor Office GREEN- Client(city,state,county,etc.) YELLOW Contractor PINK -FEMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: r^ w (please print) (please sign) 3 H Q H Z w CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: (Please print) (please Sign) cc WHITE -Prime Contractor Office GREEN- Client(city,state,county,etc.) YELLOW Contractor PINK -FEMA GOLDENROD- Driver DEBRIS LOAD TICKET DEBRIS STAGING/REDUCTION/DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: CLIENT DOT MP- 3000 - 26(114)/306191301 DISASTER NO: TKT (please sign) NA1E: MP -3000- 82(115) / 306191302 CMP3 000261 14 1 NO _ y CC CONTRACTOR amlpm Z NAME: SITE #: O SITE LOCATION: (if applicable) GDRIVER ACTUAL LOAD QUANTITY; ITEM 202 -116 CY TRAILER /TRUCK NO: (assigned) MEASURED CAPACITY: NAME: m LOADING �� LOADING - Cy DATE: � I I TIME: 'f! /yt r - am /pm I- a p LOADING LOADIN 5! j ° LOCATION: ZONE: - ! f � �f� oq FIELD MONITOR:....- +- "'FtE`[D MONITOR:. 0 F _ (please print) (please si8rv] y OTHER wrnrc -rnme Lonrracror umce cimEvy- cirent(city,srote,county,etc,) YELLOW-Contractor PINK -FEMA. GOLDENROD - Driver DEBRIS STAGING/REDUCTION/DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL (please sign) PATE: TIME: p F 2 amlpm Z REDUCTION /DISPOSAL SITE #: CLIENT REPRESENTATIVE: SITE LOCATION: (if applicable) w ACTUAL LOAD QUANTITY; ITEM 202 -116 CY TONS O c� VEGETATIVE C & D ° DEBRIS TYPE co WHITE GOODS OTHER w L4 a SMALL le o U STUMPS MEDIUM LARGE O F- DISPpSAL SITE MONITOR: _, DISPOSALSITE MONITOR: (please printt))p - ( please sign) /�/.- f tt h - - - wrnrc -rnme Lonrracror umce cimEvy- cirent(city,srote,county,etc,) YELLOW-Contractor PINK -FEMA. GOLDENROD - Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: w } (please print) (please sign) r Q F 2 CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: rg {please print) - ( please si ) a wrnrc -rnme Lonrracror umce cimEvy- cirent(city,srote,county,etc,) YELLOW-Contractor PINK -FEMA. GOLDENROD - Driver Looks 1 Great 10'' Services ° • WENT SITE #: SITE LOCATION: DLiASTER NO: TICT - NAME: TONS ACTUAL LOAD QUANTITY: `�' 1 p VEGETATIVE C & D CONTRAcTOR i NAME: WHITE GOODS OTHER DRryER SMALL TRAILERfTRUCK NM (assigned) MEASURED CAPAQIY: NAME: ! it LOADING LARGE LOADING _ (,t- N J CY DATE: ,� J /)`� ! , f -,, TIME: iirt J V "fpm LOADING LOADING _ g /yj LOCATION: .7 Ng �� ZONE: j+fy f'w . HELD MON FIELD MONITOR: (please pr1rM Ip$ease sign) ARRIVAL REDUCRON / DISPOSAL SITE #: SITE LOCATION: (R applicable) CY % TONS ACTUAL LOAD QUANTITY: FULL: IR applicable) VEGETATIVE C & D DEBRIS TYPE WHITE GOODS OTHER SMALL STUMPS MEDIUM it LARGE DISPOSAL SITE MONITOR: DISPOSAL SITE MONITOR: - {please print) (please sign) RACTOR REPF (please print) (please print) ! �,.'' WWE -Prime COn"Ctor Office LACTOR REPI (please sign) (please sign) FN�I ten t /city, State, coon ry, etc. ) YELLOW - Contractor PINK -FEMA GOLDENROD- Driver Looks % 1 # Great .. r Services- • Cum NAIW- V r % DI545TER NQ: T� ' NAl1�: 777 �// NO. 9r NAME TRAILER/Ma(NO: (asslgned] MEASURED SJ4 ...LOADING I - TIME: GF. -� _ , 1ICY DATE. 1-7 am /Pm t -- LORDING o LOADING S. U0CATTON: (z--i '� _d _7-:,�/l,, ZONE PHW N OWtOR: �D MOWTOM (PW PTA r f YELLOW - Contractor PINK -FEMA GOLDENROD- Orfver ARRIVAL PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL _ TWE: (Please print) (please sign) DATE: aeV'paI z RLDUCT6ON /DISPOSAL SITE g: CLIENT REPRESENTATIVE: 0 SITE LOCATION: (please sign) (Nappllv6k) GREEN- Clknt(city,stateco nrye[c) „ WHITE -Prime Contractor office LOAD �/ iT/ 96 TONS QACTUAL QUANTITY: FULL' (N aPPlkabk) O -- ° `o VEGETATIVE C & D DEBRIS TYPE WHYiE GOODS OTHER m a tI d SMALL STUMPS MEDIUM II u LARGE u m 4 OISPOSALSFTE MONITOR: 51TF�,. •>� {please printl YELLOW - Contractor PINK -FEMA GOLDENROD- Orfver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: ' ` (Please print) (please sign) M. 6 Z CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: a. p (Please Print) (please sign) GREEN- Clknt(city,stateco nrye[c) „ WHITE -Prime Contractor office YELLOW - Contractor PINK -FEMA GOLDENROD- Orfver I- DEBRIS LOAD TICKET 4 _t - run DEBRIS STAGING /REDUCTION /DISPOSAL SITE = PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL O / TIME: y I DATE: /� / lam/pm —.1-i �I / Z REDUCTION /DISPOSAL SITE #,. � SITE LOCATION: (if applita6le) w ACTUAL LOAD QUANTITY: �� T� Q ITEM 202-Bi16 cc a w �� (ple a °5'rgn w r O s VEGETATIVE C & D ° DEBRIS TYPE WHITE GOODS OTHER ® � SMALL " a o V STUMPS MEDIUM IF LARGE m O DISPbSAL SITE MONITOR. DISPOSAf: SITE MONITOR: run rrmrc- rnrnec.ranrrvcrar vmce cjnttn- Lrenr(citysrate,county,em) YELLOW- Contractor PINK -FEMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: = PRIME CONTRACTOR REPRESENTATIVE: } (please print) (please Sign) 4 Z m CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: cc a tease rent (please print) �� (ple a °5'rgn w r ;r rrmrc- rnrnec.ranrrvcrar vmce cjnttn- Lrenr(citysrate,county,em) YELLOW- Contractor PINK -FEMA GOLDENROD- Driver Looks % 1 Great Services CLIENT NAME: SITE M: DISASTER NO: (if applieahle) ry. t yJ A 7 9 % TONS ACTUAL LOAD QUANTITY: f `l FULL: NO. 41 , I CONTRACTLM NAME:,i VEGETATIVE t & D DEBRIS TYPE DRIVER NAME: /� /{ Imow ` TRAILER/TRLKX F40: (mIgned) MEASURED CAPACITY: JREDUCTQN/DISPOSAL SMALL j^ Y 4 LOADING / �'`� /0 � 1 � LOADING " TIME: DATE: 1 LARGE �t am /pm DISPOSAL SITE MONITOR: LOADING LOCATION: ] ��] E,•J� � � LOADING ZONE: FIELD MONITOR. FIELD MONRORt (please print) (please sign) PRIME CONTRACTOR REPRESENTATIVE: - PRIME CONTRACTOR REPRESENTATIVE: (please print) (please sign) CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: (please Print) +please sign) INWE -Prime Contractor Office GREEN- CNenttctystate,coonty,etc.) YELLOW- Contractor PINK-FEMA GOLDIFNRO"river SITE M: SITE LOCATION: (if applieahle) �--°I icy % TONS ACTUAL LOAD QUANTITY: f `l FULL: (dapWicable) VEGETATIVE t & D DEBRIS TYPE WHITE GOODS OTHER JREDUCTQN/DISPOSAL SMALL STUMPS MEENUM II LARGE �t DISPOSAL SITE MONITOR: DISPOSAL SITE MONITOR: {Please printl� �" y� --. {Please siplj J !' PRIME CONTRACTOR REPRESENTATIVE: - PRIME CONTRACTOR REPRESENTATIVE: (please print) (please sign) CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: (please Print) +please sign) INWE -Prime Contractor Office GREEN- CNenttctystate,coonty,etc.) YELLOW- Contractor PINK-FEMA GOLDIFNRO"river DEBRIS LOAD TICKET DEBRIS STAGING /REDUCTION /DISPOSAL SITE CLIENT n� MP- 3000 - 26(114) / 306191301 NAME: 1 � DOT' DISASTER N0; TKT CMP3600261141 T—- cc ! MP- 3000 - 82(115) / 306191302 NO — - Q CONTRACTOR � ,NAME: O aDRIVER W TRWR/TRUCK NO: (assigned) MEASURED CAPACITY: W NAME: (Please sign) I f CY LOADING DATE: / / LOADII'rTG TIME: / w F- W am /pm 3 a LOADING /- LOCATION: LOADING - ' p ZONE: - m OF FIELD MONITOR: - - (pleases print} 11LD MONITOR: sign} r�y- „[ .lease wxrit: -wrnme Contractor uIpce GREEN - Chent(city,state county,etc.) YELLOW - Contractor PINK -FEMA GOLDENROO- LlrlVer DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL - �O / TIME: DATE: 4 ! /[ am /pm JL 14 QREDUCTION /DISPOSAL SITE it: SITE LOCATION: (if applicable) W ACTUAL LOAD QUANTITY: /'� TONS Q ITEM 202 -BSi6 4 (Please sign) O VEGETATIVE C & D ° DEBRIS TYPE WHITE GOODS OTHER W w SMALL II a p V STUMPS MEDIUM n LARGE II O >— DISPOSAL SITE MONITOR: DISPOSAL SITE MONITOR: (Please print) -.- Iplease ugn) / wxrit: -wrnme Contractor uIpce GREEN - Chent(city,state county,etc.) YELLOW - Contractor PINK -FEMA GOLDENROO- LlrlVer PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: } {P lease Print) (please sign) 4 h Z w CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: � a lease (P print) ) (Please sign) wxrit: -wrnme Contractor uIpce GREEN - Chent(city,state county,etc.) YELLOW - Contractor PINK -FEMA GOLDENROO- LlrlVer DEBRIS LOAD TICKET i wr,r��- rrFrrrrLonrra 1 v„nCe UKLEN- Lleentlaty,State,co(MtyetC) YELLOW - Contractor PINK -FEMA GOLDENROD- Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL [please sign] DATE: - / TIME: 0 J am /pm O REDUCTION /DISPOSAL SITE #: LIE REPRESENTATIVE: 517E LOCATION: (if applicable) w ITEM 202 -8136 ITEM 20 LOAD QUANTITY: �� TONS O � 4 O ". VEGETATIVE C & D ° DEBRIS TYPE WHITE GOODS OTHER o w SMALL a Z> u STUMPS MEDIUM " LARGE " O - y +- OSPOSAf SITE MONITOR: D{SPOSAL SITE-MONITOR: 7 {ease print) _ - -gn). wr,r��- rrFrrrrLonrra 1 v„nCe UKLEN- Lleentlaty,State,co(MtyetC) YELLOW - Contractor PINK -FEMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: 7 {please print) [please sign] H a r z h CLIENT REPRESENTATIVE: LIE REPRESENTATIVE: a. (please print) please sign) wr,r��- rrFrrrrLonrra 1 v„nCe UKLEN- Lleentlaty,State,co(MtyetC) YELLOW - Contractor PINK -FEMA GOLDENROD- Driver DEBRIS LOAD TICKET DEBRIS STAGING /REDUCTION /DISPOSAL SITE _.. - PRIME CONTRACTOR REPRESENTATIVE: CLIENT n,j� MP- 3000 - 26(114) / 306191301 T DISASTER NO: TKT DATE: , NAME: , *' DO MP -3000- 82(115) / 306191302 CMP30awmi`l1 NO. - - - ®' CONTRACTORS � O NAME: 0 DRIVER TRAILER /TRUCK NO: (assigned) MEASURED CAPACITY: w NAME:y CLIENT REPRESENTATIVE: ITEM 202 -6116 4y LOADING DATE! LOADING �) TIME: > �w i Cy w am /pm L/ `�� LOADING (� $Aof C Q4 6)D LOADING p lJ LOCATION: ( , n ` v !� !_ 1./ V 1.� V .ZONE: 4 fl . � A ( m _ FIELD MONITOR: FIELD MONITOR: 6 (please print) (please s1gnl wtme -creme LOnrrpCror u1nCe GREEN- CUentfutystmecountyetc -J YELLOW - Contractor PINK-FEMA GOLDENROD- Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE _.. - PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL Iplease sign) DATE: , TIME: O ( �, am /pm ii...) Li Q REDUCTION /DISPOSAL SITE #: 0 SITE LOCATION: (if applicable) w ACTUAL LOAD QUANTITY: TONS CLIENT REPRESENTATIVE: ITEM 202 -6116 4y (please print) 14L se sign) C) VEGETATIVE C & D DEBRIS TYPE WHITE GOODS OTHER n w w � SMALL a O L: STUMPS MEDIUM d tI m LARGE :.v rt It o dISPOSAL SITE MONITOR: / DISP95AL 517MCN,jT0R: (ale se rint) wtme -creme LOnrrpCror u1nCe GREEN- CUentfutystmecountyetc -J YELLOW - Contractor PINK-FEMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: - PRIME CONTRACTOR REPRESENTATIVE: (please print) Iplease sign) i= a m CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: rr a of (please print) 14L se sign) wtme -creme LOnrrpCror u1nCe GREEN- CUentfutystmecountyetc -J YELLOW - Contractor PINK-FEMA GOLDENROD- Driver wnrrt - primeLontractor Ujpce GREEN- Ctient(city,stotecounty,etc.f VEUOW- Contractor PINK -FEMA GOLDENROD- Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: DEBRIS LOAD TICKET ARRIVAL O DATE: ! ! ,r ITIME: aWpm O REDUCTION /DISPOSAL CLIENT /� MP- 3000 - 26(114) / 306191301 D1SASTER NO: TILT NAME: 1.1 �,{ Mp- 3000 -82 {115) / 306191302 X0'-6 �1`Ii NO. © CONTRACTOR ase sign) ITEM 202 -8116 � 2 NAME: R C) DRIVER _ ^ TRAILER/TRUCK NQ: (assigned) MEASURED CAPACITY: ° NAME: w m O WHITE GOODS OTHER -3 1 rV �y i LOADING - \ rt/1Lr LOA ING �' TIME: DATE: I . w 'SMALL �r am/pm STUMPS 0- p LOADING LOCATION: -it { ir[ 1° LOADING ZONE: L LARGE ' rI M FIELD MONITOR: FIELD MONITOR: I I r-)4 r. (. y±Y ase Printj (please sign) wnrrt - primeLontractor Ujpce GREEN- Ctient(city,stotecounty,etc.f VEUOW- Contractor PINK -FEMA GOLDENROD- Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL / -- ARRIVAL O DATE: ! ! ,r ITIME: aWpm O REDUCTION /DISPOSAL SITE 9: SITE LOCATION: 5 H (ii applicable) w ACTUAL LOAD QUANTITY: TONS ase sign) ITEM 202 -8116 � ' e'f b R VEGETATIVE C & D ° DEBRIS TYPE WHITE GOODS OTHER w 'SMALL �r a o u STUMPS MEDIUM 1° co L LARGE ' rI 9 DISPOSAL SITE MONITOR: LS M IT R: (please print) (pI - wnrrt - primeLontractor Ujpce GREEN- Ctient(city,stotecounty,etc.f VEUOW- Contractor PINK -FEMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: (please print) (please sign) E- 2 H CLIENT REPRESENTATIVE: T REPRESENTATIVE: a (Please print) ase sign) ' e'f b wnrrt - primeLontractor Ujpce GREEN- Ctient(city,stotecounty,etc.f VEUOW- Contractor PINK -FEMA GOLDENROD- Driver DEBRIS LOAD TICKET DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: CLIENT w w�� MP- 3000 - 26{114)/306191301 DISASTER NO: TKT az NAME: w' MP -3000- 82(115) / 306191302 CMP3000261141 NO. O CONTRACTOR REDUCTION /DISPOSAL NAME: O SITE LOCATION: ❑ DRIVER '�"" _ NAME: fLj��\� TRAILER/TRUCK NO: {assigned} DT- MEASURED CAPACITY: am ITEM 202 -8116 jy CV LOADING LO IN G 0 q �^ DATE: ID �r 1 F V am/pm CL q> LOADING 5 � j LOCATION: LOADING /* -1 C & D //LV/ ZONE: r ` m FIELD MONITOR: FIELD MONITOR: (please print) (please sign) w vu Iii", Urce en- LUenrlClry,SrCte,county,etC.¢ YELLOW - Contractor PINK -FEMA GOLDENROD- Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL (please sign[ DATE : TIME: lam/pm O z O REDUCTION /DISPOSAL SITE #: r� SITE LOCATION: {if applicable) (p� ) ACTUAL LOAD QUANTITY: 3 T{} N S ITEM 202 -8116 jy 0 q �^ VEGETATIVE C & D DEBRIS TYPE WHITE GOODS OTHER w "i a SMALL " o u STUMPS MEDIUM " LARGE eI m O l— DISPOSAL SITE MONITOR: DISPOSAL SITE MONTTORt_ (please rind,+ {please sign) vu Iii", Urce en- LUenrlClry,SrCte,county,etC.¢ YELLOW - Contractor PINK -FEMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: w � {please print) (please sign[ A— a z CLIENT REPRESENTATIVE: CLIET REPRESENTATIVE; Fi (please print) (p� ) vu Iii", Urce en- LUenrlClry,SrCte,county,etC.¢ YELLOW - Contractor PINK -FEMA GOLDENROD- Driver Looks ` 1 Greater 011. 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YELLOW- Contractor PINK -FEMA GOLDENROD- Driver DEBRIS LOAD TICKET DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: CLIENT n /� ,j��1r T MP- 3000- 26j114) / 306191301 � DO DISASTER NO: CMP3000261 141 TKT C 0 3. G / NAME: I MP- 3000 -82 {115) / 306191.302 H NO O CONTRACTOR A Z O NAME: ,... - O � DRIVER TRAILER /TRUCK NO: (.assigned) MEASURED CAPACITY: D W NAME: ITEM 202 -6116 2 �% 1 LOADING (/�], LOADING O a_ DATE: V • ' rl i aam/pm 4j � wa 0. p LOADING y LOCATION: �` ,. LOADING ZONE: 15'� U ,V VEGETATIVE m FlELDNOITOR: FIELD MONITOR: 0' {please print) [please sign) yy i / 1 �( `�F iT � t j A- P. v vipce uxccrv- uiengcrry,srare,county,etc.1 YELLOW- Contractor PINK -FEMA GOLDENROD- Driaer E DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL TIME: O .DATE: / H z z am/pm Z REDUCTION /DISPOSAL 51TE #: O � SITE LOCATION: - (if applicable) (please sign) .ACTUAL LOAD igUANTITY:�- C� TO ITEM 202 -6116 I u� O a_ �^ VEGETATIVE C & D DEBRIS TYPE WHITE GOODS OTHER o w ~' a SMALL t� p u STUMPS MEDIUM m LARGE II O f- DISPOSAL SITE MONITOR: DISPOSAL SITE MONITOR: (please sign) Jilpleaseprint) vipce uxccrv- uiengcrry,srare,county,etc.1 YELLOW- Contractor PINK -FEMA GOLDENROD- Driaer E PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: 7 (please print) (please sign) a z z CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: CL lease (P print ) (please sign) cc vipce uxccrv- uiengcrry,srare,county,etc.1 YELLOW- Contractor PINK -FEMA GOLDENROD- Driaer E CUEKT SITE N: SITE LOCATION: (if applicable) O 7 4� NAME: TONS CYACTUAL LOAD QUANTITY: FULL: W NO. Y ni CONTRACTOR VEGETATIVE G & D DEBRIS TYPE NAME: AsNuMV, OTHER SMALL u TRqILEA/TRW yK NO: (J a"s's� gredl MEASURED AOTY: MEDIUM u LARGE NAME: DISPOSAL SITE MONITOR: DISPOSAL SITE MONITOR: (please print) �C,AryP± • C LOADI _ / � / TIME: + ? fl �.. DATE: J 1 am /pm LOADING 7 F P4 �� q LOCATION: 1, 1( 4 20NE!�� FIELD MONITOR: FIELD MONITOR: (please print) (pleasesign) REDUCTION /DISPOSAL SITE N: SITE LOCATION: (if applicable) % TONS CYACTUAL LOAD QUANTITY: FULL: (if applicable) VEGETATIVE G & D DEBRIS TYPE WHITE GOODS OTHER SMALL u STUMPS MEDIUM u LARGE DISPOSAL SITE MONITOR: DISPOSAL SITE MONITOR: (please print) ) l / PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE:: (please print) (please sign) CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: (please printl (please sign) WHITE- PrimeConrroctor OLfice GREEN- Cilent(dzy,stote,cwnty,etc.) YELLOW- Comroctor PINK -FFMA GOLDENAOD- driver WHITE -Prime Contractor Office GREEN- Ciient(city,state,county,etc,) YELLOW - Contractor PINK -FEMA GOLDENROD - Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE DEBRIS LOAD TICKET ARRIVAL - ARRIVAL (please sign) 1 DATE: TIME: (/ O / CLIENT n,� MP- 3000 - 26(114) / 306141301 DISASTER NO: CMP3000261141 TKT 7 0 U 16 SITE LOCATION: NAME: l� [ MP- 3000- 82(115) / 306191302 ACTUAL LOAD QUANTITY: ITEM 202 -8116 CY No Q O CONTRACTOR O � O NAME: �IYYY /!J 2 DRIVER TRgL� CK NO: (assigned) MEASURED CAPACITY: Ed NAME: ,J/jj _ • CY LOADING LOADING DATE: � TIME: w am /pm j LOADING r LOADING � a- o STUMPS Q ++ LOCATION: / J ZONE: " U fff LARGE m FIELD MONITOR: - FIELD MDN R: (please print)�1y (please sign) r< DIS SAL SITE MONITOR: DISPOSAL SITE MONIT - WHITE -Prime Contractor Office GREEN- Ciient(city,state,county,etc,) YELLOW - Contractor PINK -FEMA GOLDENROD - Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL - ARRIVAL (please sign) 1 DATE: TIME: (/ O / Am /pm . N ZQ REDUCTION /DISPOSAL SITE n: SITE LOCATION: (ii applicable) w ACTUAL LOAD QUANTITY: ITEM 202 -8116 CY TONS Q y O VEGETATIVE C & D DEBRIS TYPE WHITE GOODS OTHER 0 SMALL I1 a- o STUMPS MEDIUM " S LARGE " m r< DIS SAL SITE MONITOR: DISPOSAL SITE MONIT - (pleasee�priinit) L4�:✓J `� please sign) - WHITE -Prime Contractor Office GREEN- Ciient(city,state,county,etc,) YELLOW - Contractor PINK -FEMA GOLDENROD - Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: Iplease print) (please sign) F- H Z CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: cc {please print) (please sign) a w WHITE -Prime Contractor Office GREEN- Ciient(city,state,county,etc,) YELLOW - Contractor PINK -FEMA GOLDENROD - Driver DEBRIS LOAD TICKET DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: CLIENT �� MP- 3000 -26 (114) /306191301 A DISASTER NO: CMP3000261141 TKT ^ DATE: / I NAME: MP- 3000.82(1151 / 306191302 2 NO jijJ O �. CONTRACTOR NAME: C1 (If applicable) w DRIVER TRAILER/TR CKNQfi :(assigned) MEASUREDPACITY: —� NAME: ve a z LOADING LOADING .1 TIME: �- �Y w DATE: 4 5 CL I— am /pm a 0 LOADING LOCATION: Dit LOADIN r 20NE� u i � 20 j m j iELD MONITOR: ELD MON R: O (please print) jRq 11111111111=A DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL r— ARRIVAL TIME: Q DATE: / I am %pm 2 REDUCTION /DISPOSAL SITE p: 0 SITE LOCATION. (If applicable) w ACTUAL LOAD QUANTITY: Y ITEM 202 -8115 " TONS S 4 (please print) ve a z O CL VEGETATIVE C & D cl DEBRIS TYPE WHITE GOODS OTHER o SMALL 't C6 o STUMPS MEDIUM Ls LARGE " m O DISPOSAL SITE MONITOR: D SPOSAL -SITE MONITOR: (please print) "(plea l ' L_'5 11111111111=A Will it -rrrme Lontractar ujjrre GREEN- Ciient(city,state,county,etc.) Y£LLOW- Controctor PINK -FEMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: (please print) {please sign) 4 2 CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: (please print) (please sign) a z Will it -rrrme Lontractar ujjrre GREEN- Ciient(city,state,county,etc.) Y£LLOW- Controctor PINK -FEMA GOLDENROD- Driver 4r� r` um' 0 0 bid 11TH, Y ! MTRACTOR NAME: DRIVER I TRAILERfTRUIX NO: (waJgmed) MEASURED CAPACr Y: NAME: i � a /� cy J/J LOADING g TIME: LOADING TOME: � � DATE: rJf am /pm .( I`J R / f LOADING 'VI{'�ji�1� If (rS LOADING r LOCATION: ZONE: -� FIELD MOMTOR:. FU D MONFFOIG (please print) r (plat! YELLOW-Conrroc[or FINK -FEMA GOLDENROD - Driver DEBRIS LOAD TICKET CLIENT w A D OT MP- 3000-25(114) / 306141301 DISASTER 11 TKT �r 7 0 NAME: MP- 3000 - 82(115)/306191302 CMP3000261141 NO. L[ O CONTRACTOR Z O NAME: D DRIVER ;��h.00V NAME: RU. - NO:(_ajslgn)mo MEASURED CAPACITY: m ID�CY ��// LOADING LO G e• wv DATE: I , fm/pm /p TONS � ITEM 202 -B116 t J IV 9 LOADING LOADING pa LOCATION: — ZONE: ca O O FIELD MONITOR: DEBRIS TYPE (pleas m) (please sign) ""AI c -mime 6oncracror ujpce UNU- N- Lllent(C1ty St0fe,Coun( etc.j YELLOW - Contractor ,PINK -FEMA GOLDENROD - Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL - ARRIVAL (please sign) DATE: TIME O W z 2 am /pm Z O REDUCTION /DISPOSAL SITE #: CLIENT REPRESENTATIVE: SITE LOCATION: (if applicable) us N ACTUAL LOAD QUANTITY: CY 12 TONS � ITEM 202 -B116 w 5k O GETATIVE C & D ° DEBRIS TYPE WHITE GOODS OTHER co w SMALL If c 0 D u STUMPS MEDIUM " m O LARGE sg. " I— DISPO L SITE MONITOR: DISPOSAL Sf pie /a�sp�ri%nf)��r! ""AI c -mime 6oncracror ujpce UNU- N- Lllent(C1ty St0fe,Coun( etc.j YELLOW - Contractor ,PINK -FEMA GOLDENROD - Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: v � (Please print) (please sign) z 2 w CLIENT REPRESENTATIVE: CU NT REPRESENTATIVE: a{please print) (please sign) cc cc ""AI c -mime 6oncracror ujpce UNU- N- Lllent(C1ty St0fe,Coun( etc.j YELLOW - Contractor ,PINK -FEMA GOLDENROD - Driver WH1 it: -prime Lonrrocror Ujpce GREEN- chent(City,statecaunty, etc) YELLOW- Contractor PINK -FEMA GOLDENROD - Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: DEBRIS LOAD TICKET ARRIVAL A (please sign) L. y1 _ _. DATE: T TIME: a am /Pm I— OREDUCTION CLIENT �%� {*� MP- 3000 - 26(114) / 306191301 DISASTER NO: TKT j, u J III applicable) NAME: 1 r i D {./.Tt MP- 3000 - 82(115) / 306191302 'C'MP3000261141 NO. eY CONTRACTOR O Z O NAME: ddd CL 2 DRIVER C & D TRAILER/TRUCK NO: (assigned) MEASURED CAPACITY: w NAME: o WHITE GOODS LOADING (�`� Varn/pin OADIN G y m co CY DATL; 1ME: I w LOADING ti ra � 1 LOADIN r STUMPS O u LOCATION: 11 ZONE: ,r m LARGE FIELD MONITOR: RtLffMNff0R: O (please print) (I sign) DISPOSAL SITE MONITOR: wffw1'Cy\ - lxirlw -I Awr5;�� _j WH1 it: -prime Lonrrocror Ujpce GREEN- chent(City,statecaunty, etc) YELLOW- Contractor PINK -FEMA GOLDENROD - Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL - J r ARRIVAL A (please sign) L. y1 _ _. DATE: T TIME: a am /Pm I— OREDUCTION /DISPOSAL 5 T R: CLIENT REPRESENTATIVE: SITE LOCATION: III applicable) F_ U ACTUAL LOAD QUANTITY: CY TONS Q ITEM 202 -8116 O CL VEGETATIVE C & D ° DEBRIS TYPE WHITE GOODS OTHER ca 0 w W a SMALL � 1 o STUMPS MEDIUM 11 m LARGE 11 0 I— DISPOSAL SITE MONITOR: �." DIS OSAkSfTE MONITOR: r lease print) plea , WH1 it: -prime Lonrrocror Ujpce GREEN- chent(City,statecaunty, etc) YELLOW- Contractor PINK -FEMA GOLDENROD - Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: w (please print) (please sign) F- C w Z CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: a {please print) lease sign) cc WH1 it: -prime Lonrrocror Ujpce GREEN- chent(City,statecaunty, etc) YELLOW- Contractor PINK -FEMA GOLDENROD - Driver Kooks , 1 r Great Services 4 'CLIENT NAME: SITE 4: DISASTER NO TI{T 4 CLIENT REPRESENTATIVE: % NCI. - ' s J :J CONTRACTOR lit applicablel WHITE -$rime Contractor Office GREEN -Client(city,state,count),etc.) NAME: C & D DEBRIS TYPE pNAAMER- ^ > , h �, t E d �1'A' TR(IILfRJTR; [7( NO: (assigned) MEASURED CAPA,IG�+TY: LOADING p !R, LOADIIN�Gj TIME:1��, l Y j w DATE: iW � SMALL ei ii BmJpm LOADING LOADING LOCATION: .� - ZONE: G a DtSPOSAI. SITE MONITOR: FIELD MONITOR: FIELD MONITOR: (please stem (please print) r (please sign) REDUCTiONfD1SPOSAL SITE 4: SITE LOCATION: (it applicable( CLIENT REPRESENTATIVE: % TONS ACTUAL LOAD gUANf1TY: I - Cy FULL: lit applicablel WHITE -$rime Contractor Office GREEN -Client(city,state,count),etc.) VEGETATIVE C & D DEBRIS TYPE WHITE GOODS OTHER SMALL tt STUMPS MEDIUM tt LARGE to DtSPOSAI. SITE MONITOR: DIISSPOSAL StTE MONITOR: (please print) (please stem PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: (please print) (please sign) CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: peintl (ple— sign) AV(Please WHITE -$rime Contractor Office GREEN -Client(city,state,count),etc.) YELLOW- Contractor PINK -FFMA GOLDENROD -Driver DEBRIS LOAD TICKET DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: CLIENT �� MP- 3000 - 26(114) / 306191301 DISASTER NO: TKT o: NAME; MP- 3000 - 82(115)/306191302 CMP3 000 2 61141 NO t � O CONTRACTOR NAME: 0 Q ° DRIVER TRAILER /TRUCK NO: (assigned) MEASURED CAPACITY: w 1.-4 NAME: ACTUAL LOAD QUANTITY: / �, ` TONS LOADING E/R r LOADING r JjK 9. DATE: J 14.j �+A 0 %V F'1 am mig a LOADING LOADING ..¢ p LOCATION: ZONE: m 0 FIELD MONITOR: FIELD MONITOR: 0 R •t rr ` (pleasS print) (please sign) ...,r,e-rr nuuu,ur ujj,ce uereerv- (,Uenrfciry,srare,counry,erc.) YELLOW - Contractor PINK -FEMA GOLDENROD- Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL QDATE: J / TfME: iy . I z am /Pin Q REDUCTION /DISPOSAL SITE #: CLIENT REPRESENTATIVE; SITE LOCATION; (if applicable) w Q ACTUAL LOAD QUANTITY: / �, ` TONS ITEM 302 -6116 Y y v 0 0 VEGETATIVE C & D ° r DEBRIS TYPE m WHITE GOODS OTHER jo w a SMALL IF o V STUMPS MEDIUM " LARGE '� co 0 I— DISPOSAL SITE MONITOR: DISPOSAL SITE MONITOR; please lnt) (please sign) ...,r,e-rr nuuu,ur ujj,ce uereerv- (,Uenrfciry,srare,counry,erc.) YELLOW - Contractor PINK -FEMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: W (please print) (please sign) Z z w CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE; (please print) (Please sign) ...,r,e-rr nuuu,ur ujj,ce uereerv- (,Uenrfciry,srare,counry,erc.) YELLOW - Contractor PINK -FEMA GOLDENROD- Driver Lacks % � Great, mb- DATE: tll�f #t�1r TRAILER/MUCK NO: (I LOADING �' r� YE1 ZONE: �b IELA LTOR: Rah mown ) (PhmePrint) I �y (PAM *B) A 7 Il _ w. w 1: w i If CAPACWY: I 1 CY RACTOR REPP (please print) (please print) 6 0! ( r r71 WHITE -Enme Contractor Office YELLOW-Contractor PINK -FEMA GOLDENROD - Drier !ACTOR REPI (please sign) (please,sign) t'.,dr'i DEBRIS STAGING /REDUCTION /DISPOSAL SITE DEBRIS LOAD TICKET ARRIVAL .ARRIVAL CLIENT ��T MP- 3800 - 26(114)/306191301 DISASTER NO: TKT p NAME: ■1 MP- 3008-82(115) / 306191302 CMP3000261141 NO. — — z CONTRACTOR SITE LOCATION: (if applicable) F= FA W ACTUAL LOAD QUANTITY: NAME: ITEM 202 -6416 CY TONS 0 , O dDRIVER TRAILER /TRUCK NO : (assigned] MEASURED CAPACITY: w NAME: *V, l DEBRIS TYPE w r� Y LOADING LOADING 71ME: w DATE: / ilx Q w w am /pm a CL O LOADING SMALL OADING >A FF o LOCATION: ZONE: Ir V LARGE W m I r FIELD MONITOR: FIELD MONRORI O (please print) \ (please sign) F DISPOSAL SITE MONITOR: {��j� (please print( t'.,dr'i DEBRIS STAGING /REDUCTION /DISPOSAL SITE - PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL .ARRIVAL (please sign) DATE: % , TIME: p _ + am /pm Z REDUCTION /DISPOSAL SITE #: Q 2 SITE LOCATION: (if applicable) F= FA W ACTUAL LOAD QUANTITY: ITEM 202 -6416 CY TONS , O VEGETATIVE C & D DEBRIS TYPE WHITE GOODS OTHER mo w a SMALL FF o STUMPS MEDIUM Ir LARGE I r a F DISPOSAL SITE MONITOR: POSAL SITE MONITOR: (please print( (pleasesfgn) /y t'.,dr'i wnrrt - Yrl/ne LOntructor UJ74ce GREEN- Clieilt(city,stote,eaunty,etc.) YELLOW -Controctor PfNK -FEMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: - PRIME CONTRACTOR REPRESENTATIVE: w (please print) (please sign) C 2' N CLIENT REPRESENTATIVE: LIENT REPRESENTATIVE: (please print) (please sign) w oC wnrrt - Yrl/ne LOntructor UJ74ce GREEN- Clieilt(city,stote,eaunty,etc.) YELLOW -Controctor PfNK -FEMA GOLDENROD- Driver DEBRIS LOAD TICKET r—,Er+rne4onEracror U;pCe cr xtM- LnentlCrty,Stote;county;etc/ YELLOW- Contractor PINK -FEMA GOLDENROD- Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE:, ARRIVAL ARRIVAL O DATE: r I r i TIME: am /pm ZZ REDUCTION /DISPOSAL g q: SITE LOCATION: (if applicable) w ACTUAL LOAD QUANTITY: Cy TONS CLIENT REPRESENTATIVE: ITEM 202 -R115 (please print) h w r� Q r f, VEGETATIVE C & D DEBRIS TYPE WHITE GOODS OTHER o a SMALL 0 C) STUMPS MEDIUM " u LARGE m 0 POSAL MONITOR: DISP05ALSITE AWMTOR`• �S7 °` prm (Pie9 _ F'PEease *n) , r—,Er+rne4onEracror U;pCe cr xtM- LnentlCrty,Stote;county;etc/ YELLOW- Contractor PINK -FEMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE:, 7 (please print) (please sign) 1- Q z Z N CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: a. (please print) ° ., (please sign) w r� r—,Er+rne4onEracror U;pCe cr xtM- LnentlCrty,Stote;county;etc/ YELLOW- Contractor PINK -FEMA GOLDENROD- Driver DEBRIS LOAD TICKET DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: CLIENT MP- 3000 - 26(114) / 306191901 M (T DISA5TENB: CMP30( TKT -47 INO. f 0 5 DATE: NAME MP- 3000. 82(115)/306191302 O � Q CONTRACTOR Z O NAME: r! CLIENT REPRESENTATIVE: DRIVER f TRAILER/TRUCK NO: (assigned) MEASURED CAPACITY: ACTUAL LOAD QUANTITY: w" f\w TON C ITEM 202 -6116 Y LOADING LOADING m ■/+ C3 w DATE: Ia/ , r (�Jf 1 am(Pm -, II "" ' I+.q •d S V� / f Q LOADING •/��y,I LOCATION: / W'.. LOADING � ZONE: 7rQ.7iv J:O�•C? (/FIELD /S�Y m MONITOR: FIELD MONITOR: DEBRIS TYPE (please print) (please sign) irfsrQ ,y m it? Ir DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL °C DATE: TIME: O p - - am /pm t- O REDUCTION /DISPOSAL CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: SITE LOCAT ION: FITE11 hle) w ACTUAL LOAD QUANTITY: w" f\w TON C ITEM 202 -6116 Y J\ C1 VEGETATIVE C & D DEBRIS TYPE o WHITE GOODS OTHER J SMALL " o v STUMPS MEDIUM LARGE It m O DISPOSAL SITE MONITOR: {please print) DISPOSAL SITE MONITOR: (please sign] Ir vrnrfc- ffr f?LfUc'[or U)TCe perr Ery- Lben£IC7£y,9£O£e,Co UfIty,etC.) YELLOW- Cort£rcc£or P1NK4£MA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: w 7 (please print) {please sign] F- Q Fv LL' CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: sr lease 1P print) 1 lease sign) vrnrfc- ffr f?LfUc'[or U)TCe perr Ery- Lben£IC7£y,9£O£e,Co UfIty,etC.) YELLOW- Cort£rcc£or P1NK4£MA GOLDENROD- Driver Lacks 1 , f Great ,r • Services 4* =�BRI5 LOAD TICK rt CLIENT 7L \ PRIME CONTRACTOR REPRESENTATIVE: QISASTER NO: T In E _ . O NAME:` = t 2 - j _ NO. — - p CONTRACTOR A ACTUAL LOAD ` CY % Z NAME: QUANTITY: FULL: (if applicable) O r �'l A �• � T DRIVER VEGETATIVE TRAILER/TRUCIL NO: JamIgned) MEASURED CAPACITY: W NAME: 1 /j T. _ WHITE GOODS " OTHER CY0 e LOADING }#'�� --.��l s / DATE: f LOADING f, �y a- /Pm • �y am /pm 0 - O LOADING LOCATION: 1r+ yip 4r c WADING 5, ZONE: " J --, �� ddd e.y m �F F 'IMONTM FIELD MONITOR: - a P�MI (please sign) rt - AGING /RED OT)ON/DISPO PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL F ARRIVAL„' TIME: " DATE: I 1 O am /Pm t 2 REDUCTION /DISPOSAL 517[X: 0 SITE LOCATION: (H appucm*) ACTUAL LOAD ` CY % TONS Q QUANTITY: FULL: (if applicable) O r �'l A �• � T v° VEGETATIVE C & D n DEBRIS TYPE WHITE GOODS OTHER 11 a SMALL o V STUMPS MEDIUM st m LARGE 11 O ~ DISPOSAL SITE MONITOR: WSPOSAL SITE MONITOR: (please priptl _ - (please sign( rt WHITE-Prrme Contractor CVCE GREEN- Client(City,atate,county,ete.) YELLOW - Contractor PINK -FFMA GOLDENROD -Orhw 0 PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: W (please print) (please sign) f Q 2 N CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: m a r , (please print) (please sign) ¢ /-, l- l - �'YY fi;�� r, r 1f r �'l A �• � T WHITE-Prrme Contractor CVCE GREEN- Client(City,atate,county,ete.) YELLOW - Contractor PINK -FFMA GOLDENROD -Orhw 0 DEBRIS LOAD TICKET DEBRIS STAGING /REDUCTION /DISPOSAL SITE CLIENT �� MP- 3000 - 26(114) / 306191301 DISASTER NO: TKT cc NAME: MP -3000- 82(115)/306191302 CMIP3000262141-- NO. O CONTRACTOR z NAME: O w O DRIVER TRAI CK NO: {assigned) MEASURED CAPACITY: W W NAME: 6 LL >- m 4 T LOADING TIME: .2 CY �� LOADING t v DATE: /(`off am /pm d IL pLOCATION: LOADING LOADING - � J � I Y ONE:•+ w m O FIELD MONTro . FIELD MONITOR: � (Please print) sl nom_ lfA wane- rF9MeLonrttrCtor UMce GREEN- Client(city,state,caunty,etc./ YELLOW - Contractor PINK-FEMA GOLDENROD- Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL 00 TIME: DATE: Q am/pm Z REDUCTION /DISPOSAL SITE p: O SITE LOCATION: (if applicahle) w ACTUAL LOAD QUANTITY: CY TONS 4 ITEM 202 -8116 Aj O 0 a VEGETATIVE C & D ° DEBRIS TYPE o WHITE GOODS OTHER w SMALL " a o STUMPS MEDIUM " V LARGE m O DISPOSAL SITE MONITOR: DISPOSAL SITE MONITOR: {please print)`' wane- rF9MeLonrttrCtor UMce GREEN- Client(city,state,caunty,etc./ YELLOW - Contractor PINK-FEMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: (please print) {please sign) Q z Z w CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: (please print) , (please sign) Aj wane- rF9MeLonrttrCtor UMce GREEN- Client(city,state,caunty,etc./ YELLOW - Contractor PINK-FEMA GOLDENROD- Driver DEBRIS LOAD TICKET CLIENT R � � _ MP.30DD- 26(114) / 30 &191301 DISASTER NO: TKT NAMIE: MP-3000-82(1151/306291302 CMP3000261,1!41 NO. - C) CONTRACTOR r 6' NAME: O DATE: / / DDRIVER -' NAME: TRAI /TRUCK NO: (assigned) MEASURED CAPACITY: am /pm Z REDUCTION /DISPOSAL SITf : m LOADING `- / _j a IME: ( f � y IMf: n DATE: I f Jai! � W ' am /pm p LOADING _ �yp� LOCATION. i.a9 ��✓✓✓ LOADING �7 ,,../�� ZONE: /i / 8�. y(R,L 0- / 5 w co fj FIELD MONITOR: FIELD MONITOR: y (please print) I please sign) C & D ° DEBRIS TYPE r�nrir- rrFl— "w— YELLOW -Contractor PINK -FEMA GOLDENROD- Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE - PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL _ ARRIVAL (please sign) DATE: / / TIME: r- r- Z am /pm Z REDUCTION /DISPOSAL SITf : 2 SITE LOCATION: (if applicable) w ACTUAL LOAD QUANTITY: CY ITEM 202 -E.I35 TONS CL J` C3 CL I_.-- JEGETATIVE C & D ° DEBRIS TYPE WHITE GOODS OTHER 0 w tz a SMALL " o U STUMPS MEDIUM " m LARGE 11 O �— DISPOSAL SITE MONITOR: DISPOSAL SITE, MONITOR: (please print) e d ('piea&eSign � � � r�nrir- rrFl— "w— YELLOW -Contractor PINK -FEMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: - PRIME CONTRACTOR REPRESENTATIVE: � {please print} (please sign) 1= d r- Z CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: (Please print) .a,,(please sign) CL J` r�nrir- rrFl— "w— YELLOW -Contractor PINK -FEMA GOLDENROD- Driver I DEBRIS LOAD TICKET FA DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL _ O DATE: CLIENT REPRESENTATIVE: 2 REDUCTION /DISPOSAL SITE #: � SITE LOCATION: (if applicable) ACTUAL LOAD QUANTITY: w� 2 @2 ■fir �O G. .ITEM -6116 v7 VEGETATIVE C &D ° DEBRIS TYPE o WHITE GOODS OTHER W W SMALL r r o_ Q u STUMPS MEDIUM rr m LARGE rt d I— DISPOSAL SL E MONITOR: POSAL SiTE.MONITOR: ( please print) leases') FA "IIC -rnme COUraCtOr U)PCe GREEN -Client(city,state,county,etc.) YELLOW - Contractor PINK -FEMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: (please print) (please sign) H Z CLIENT REPRESENTATIVE: CLENT REPRESENTATIVE: _ (please print) �9� /,'rjpleasesignj f \ "IIC -rnme COUraCtOr U)PCe GREEN -Client(city,state,county,etc.) YELLOW - Contractor PINK -FEMA GOLDENROD- Driver DEBRIS LOAD TICKET T ..��.� ter« «rwnuvcror vM11 VKttrv- LrrenrlCnY,Srnte,000nty,erci. YELLOW- Controctor PINK -FEMA GOLDENROD- Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL // ARRIVAL s0 DATE: © I ` TIME: H / am /pm ZZ REDUCTION /DISPOSAL SITE if: SITE LOCATION: (if applicable) ~ ACTUAL LOAD QUANTITY: ¢, CY TONS a ITEM 202 -B116 (pleas 4� O a �^ -;;� WEGETATIWE t & D ° DEBRIS TYPE WHITE GOODS OTHER o w F a SMALL " o u STUMPS MEDIUM LARGE 'I ® O I— DISPOSAL SITE MONITOR: - DISPOSAkSITE:MONITOR: (pleasepdntj ..��.� ter« «rwnuvcror vM11 VKttrv- LrrenrlCnY,Srnte,000nty,erci. YELLOW- Controctor PINK -FEMA GOLDENROD- Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: (please print) (please sign) 1= Q F z CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: a(please print) (pleas 4� ..��.� ter« «rwnuvcror vM11 VKttrv- LrrenrlCnY,Srnte,000nty,erci. YELLOW- Controctor PINK -FEMA GOLDENROD- Driver Looks %I Great Services - CLIENT /`�� /� �+yJ DISASTER NO: TKT CLIENT REPRESENTATIVE: NAME: t�JJ (please sign( NO. SITE M: CONTRACTOR NAME: r {] t f !J't (if applicable) "'��111 i Cy % FULL: 'DRIVER TONS (if aPPUCabie) TRA�y Nq.;,( sslgned) MEASURED CAPACfT-f: ., NAME: ( J~ J '_ C & D DEBRIS TYPE LOADING f ' WHITE GOODS LOADING DATE: f , TIME: r + /'- SMALL am /pm yy Y - 'I LOCOING / / ( c /' f t + LOADING i R j LOCATION; i ZONE: rp�`�y J!L LARGE rQ-, If FIELD MONITOR: DISPOSAL SITE MONITOR: FIELD MONITOR; (pease prlintl (please print) j (Please sign) (please sign) r4 DATE: A I i1ME: am /pm ..'y CLIENT REPRESENTATIVE: REDUCTION/DfSPOSAL (Please print) (please sign( SITE M: WHIM -Prime Contractor Office GREEN -Clienr(city,state,County,etC.) SITE LOCATION: (if applicable) ACTUAL LOAD QUANTITY-. Cy % FULL: TONS (if aPPUCabie) VEGETATIVE C & D DEBRIS TYPE WHITE GOODS OTHER SMALL 'I STUMPS MEDIUM LARGE If DISPOSAL SITE MONITOR: DISPOSAL SITE MONITOR: (pease prlintl _ j (Please sign) PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: (please printl (Please sign) CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: (Please print) (please sign( WHIM -Prime Contractor Office GREEN -Clienr(city,state,County,etC.) DEBRIS LOAD TICKET DEBRIS STAGING /REDUCTION /DISPOSAL SITE CLIENT �� MP-3000-26(114)/30F,191301 DISASTER NO: TKT pp -'0541 NAME: CMP30002Si0. ARRIVAL MP- 3000;8.2(115) / 306192302 - NQ. 0 0 CONTRACTOR TIME: / J NAME: C! SITE ® DRIVER TRAILER /TRUCK NO: (assigned) MEASURED CAPACITY: J W LL NAME: S�, , b/ _ v'_ (please sign] LOADING LOADING m �% w �a ./ DATE: l'�' I I + / TIM am �' +1 �{, �•�-c 1 w LOADING LOCATION: firy Af T y LOADING ZONE: 5, 116o ; / a� FIELD MONITOR: FIELD MONITOR: O ri {please } W{{ f f - r1 11— w„uuuur VD ce vxerrv- f- lient(Crty,stote,county,etC,) YELLOW - Contractor ,PINK -FEAlA GOLDENROD - Driver DEBRIS STAGING /REDUCTION /DISPOSAL SITE PRIME CONTRACTOR REPRESENTATIVE: ARRIVAL ARRIVAL Q DATE TIME: / J O REDUCTION /DISPOSAL SITE SITE LOCATION: lif applicable) w < ACTUAL LOAD QUANTITY: ITEM 202 -Bi16 TONS (please sign] tom' 0 a i VEGETATIVE " C & D ° DEBRIS TYPE WHITE GOODS OTHER o W a SMALL " p u STUMPS MEDIUM " w m LARGE " O , r DISPOSAL SITE MONITOR: DI SALSITk ARV' Ieaseprint) r` - r1 11— w„uuuur VD ce vxerrv- f- lient(Crty,stote,county,etC,) YELLOW - Contractor ,PINK -FEAlA GOLDENROD - Driver PRIME CONTRACTOR REPRESENTATIVE: PRIME CONTRACTOR REPRESENTATIVE: 7 (please print) {please sign) 1= d Z uwi CLIENT REPRESENTATIVE: CLIENT REPRESENTATIVE: cc o. (please print) (please sign] tom' �r i - r1 11— w„uuuur VD ce vxerrv- f- lient(Crty,stote,county,etC,) YELLOW - Contractor ,PINK -FEAlA GOLDENROD - Driver I DEBRIS LOAD TICKET x 0 DATE: REDUCTION /DISPOSAL 62 SITE LOCATION: 41 uii ACTUAL LOAD QUANTITY �. ITEM 202 -8116 a 4 a DEBRIS STAGING /REDUCTION /DISPOSAL SITE ARRIVAL am /pm -V W Lo"T.pplicable) p: 95,42�cy TONS >_ DEBRIS TYPE m ti W J a a STUMPS u W m 0 ' DISPOSAL SITE MONITOR please print) VEGETATIVE C & d WHITE GOODS OTHER SMALL 71 MEDJUM !I LARGE I t DISPOSAL SITE MONITOR: (please sign) WHITE- Pri(neContrpctor O,fJice GREEN - Cfient(dtY,state,county, etc.) YELLOW - Contractor pfNK -FFMA GOLDENROD- Driver