MSV TRUCKS 10.04 LOADSJorno -D ,cj -y)r
Load Ticket Ticket No.
Municipality (Applicant) P C ac r
i�:t�lroi SHoe,c VcO�
100SO p7C �dg A),r Sub -Contr cto
a41i4M: 6 tf®�1 wlR. 33 iyf I I
Truck No
I )Y VS 05p3
i ime Date
Loading
- ocation (Address or Cross Streets)
eh,�Ii ' 6r $ v+Ip;7{I
L�l'0�`R
Vegetation
❑ C &D
❑ White Goods O ` .
❑ HHW
❑ Other* See Below
Time Date Ins ector /Mon
Unloading
6-; D6 /o >d
DMS Name and Location
riot IJc.1 lo$ °G Si r J"9tAa9�, t= (rrod� 83/y7
`Other Debris 6 planation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No.
4114441 jC E(a4,&S
�a �,A e,
100SO N6
d AAE
I Sub- Contracto -
MiAAMI: 6 c OR-al
Miss. $31,x$
I MIMI
Truck No Capacity
ms-:tv0523 I arm
Truck Driver (print legibly)
L145 WlnL nd522,
Loading
lo' 20
mllicYt
Location (Address or Cross Streets)
NE Gg' / NE 315".1 fAvc
N ate. 819 W —rcv
M ation Estimated %, CYs, or Actual Wei ht
n ds e Below
Time Date In ector /Monitor
1'701 04) 103 "G s w A*0a , Fc,r�G. 83iY7
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
i
Load Ticket Ticket No.
Municipality (Applicant) p
p414A41 -C- .b ffse Vc O IaG
10VS0 NeE �oJd AJi Sub -C
1%4m: S amg- , r (O- 83135 I M
Truck No
m5��L3
Truck Driver (print) legibly)
- 1 kS 'i'"rordun,
Loading i
_ocation (Address or Cross Sir
N a5-
1U y -n- 0 6611
W YU,1
S
�auiudLea -/o, .Lys, or Actuai Wei ht
Vegetati on
❑ C &D
❑ White Goods /
❑ HHW
❑ Other' See Below
Time Date Ins ector /Monitor
Unloading d : )7 / ,f)u /i��� .�
1,701 (00 103'6 S-1/ PIIAmzl (%CdPa�u. 2S/y7
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
vua � n�uaYas
Load Ticket Ticket No
t AA
6%Q�,S
!4
' �OO SO
ply ®°'b �jg
ub -Contr cto
Truck No Capacity
WA DqO) a(Q
Loading ime I I Date Inspector /N
Location ss or Cross Streets)
(QE q)*- / K 3`8 A�
N d 5_ No 1 I W -.
Vegetation -
❑ C &D
❑ White Goods
❑ HHW �i/
❑ Other' See Below
Time Date Inspector /Mon
Unloading /0� �� y �1r
DMS Name and Location
i ?ot [�Jw log"°
'Other Debris F� planation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No.
AiAMi CtfsePcs, t 4IIAc.e-
100660 Ne c9,d Alm
1%4'4m 5 FF®s,401 rr(0- 33138°
Truck No
Truck
Loading cl
Location (Address or Cross Streets)
N ;?,.IeoA
W- �D- ) bv
-- - �sufnaiea %o, Lys, or Actual
Vegetation
❑ C &D
❑ Wh to Goods
❑ HHW
❑ Other* See Below
Time Date Inspector /Mon
Unloading
DMS Name and Location
i ?01 O(J
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No.
41aa6a
®ems v� I fa 4
MIAMI
S
100so
Nf !OJ6 A)-
Sub -Contr cto
q0
Loading
or
i to"A i'1
a.s—...r4� Iv e
Vegetation
❑ C &D
❑ White Goods
❑ HHW / /!/
[I Other* See Below
Unloading
DMS Name and Location
1,701 rJw 103 ° sr, i*il4ma1 f ;(Ptjr, 23iy7
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
'f-ArJ Tci/ % Vk,
L oa
unici d Ticket Ticket No. %� S
Mpality (Applicant) (( P� roc r, SIA
i0O.s0 Air- Sub -Contr cto
Truck No Cr T/2 ✓ CiC Capacity
Truck Driver (print legibly)
Pr (-,FL CA-niC%L
Loading
Time Date Ins ector /Monitor
, 0 �
f � I, ,y s� /S�,1 yB
Location (Address or Cross Streets)
woo-1(6y --295
Debris Classification Estimated %, CYs, or Actual Wei ht
Vegetation
❑ C&D
❑ White Goods
❑ HHW 6%
❑ Other* See Below
Time Date Inspector/Monitor
Unloading
Il�l`� /6/4i
DMS Name and Location
i ?oi iv,1 ea3'° sr 0444m, &, e(*114da, as/ya
Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
�LG}rl t S l c r C vA,a
Load Ticket
Ticket No. An` S v
noAAAi �Cffae&~ e.
1006"0 NC c9 J6- AIS y�-
pt�q,v�: S
(40R-ex, f=lat. $31 ,39P
ick No
IDt/`OJ qM
U / -Lh
0
Loading - - - ' V'
Location (Address or Cross Streets)
96 7 Y ST,
N �� `!J `f W moo, l bc6 M, 1111MM-71"O"
Debris Classification Estimated '%/, CYs, or Actual Weight
Vegetation
❑ H
❑ White Goods
❑ HHW
❑ Other* See Below
Time Date Ins ector /Monitor
Unloading 3 =15, 4,41
[Io 1 00 103'4 s1 �liAMa, Ft®r�a as,Y�
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
IlQy,llSlct/ l�v��t1
Load Ticket Ticket No. / vl S
Municipality ;(Applicant) P im n rac r 041 AAs1 F4 VJ { 14 e-
1006,0
$ L AJa Sub -Contr ctor
Nlia.us: 6 tFe2c'..5� r'(A. c3Z 1 .3�
Truck No
-/-eI/Ctc—
Capacity
-17--
/01C)
-�)G
Driver (print
,)j GT-,L
csurnaiea %o, GYS, or Actual V
Vegetation
❑ C &D n�
❑ White Goods
❑ HHW
❑ Other' See Below
Time Date Inspector /Mon
Unloading �.01
I l )
DMS Name and Location
I'Z01 foo 103,4 .5-11 Ail4ar''r E ad� 83/`/7
`Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Itir��i, I' /C I/ f
Load Ticket Ticket No.
Municipality (Applicant)
P4 i Awe i C Ham I/c 0 IIAVG p
10O.S0 Nf ®,j' A1s Sub -C
m 4m� 5 a(6/d xef 07(o- 331,;8 N
Truck No CCTy ucl—c-
/o to
Truck Driver (print lecibly)
CF L
S, V
,�9-6
sNT' tIun estimated %, CYs, or Actual Weight
Vegetation
❑ C &D ^
❑ White Goods
❑ HHW
❑ Other` See Below
Time Date Ins ector /Monitor
Unloading
V rpl
yr 7 Id /u��)t
1?01 O(J 103'4 Si , AAmy, t%(PhJa, 83faA7
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No.
(Applicant) r� `� S
nicipality (App' )
100so Na � �y Sub-Cont to ' 51
tt%;,A x640 "ta 33135 ■
Truck No
In -y 1I11Q_—
Truck Driver (print legibly)
Loading I It" 3D M , iDY1 t'1 ' birm
Location (Address or Cross Streets)
K& q3 st' ivy (-A'� Rv�
N d5, 8UO2-
W – 10.11
ry
❑ White Goods Lill /J
❑ HHW (�
❑ Other' See Below
Time Date Ins ectorlMonitor
Unloading j,�.Jp
i"POI M17cl 1031, ST', iAm'c, (,(s. 83/y7
Other Debris Explanation Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket
► i A,,A t Na4, s V4 I lei
�006'0 6 A�
ttti40n+ 6 pfazz.41 rtti 33135
uck No
Capacity
Debris Classification tstimatec 7a, crs, ori- \civai vvei nt
Vegetation
❑ C &D
❑
White Goods
❑ HHW
❑ Other* See Below
Time Date ��specto'monito'
Unloading
]MS Name and Location /,�®B y,
I-lot Nc1 10304 SI /'SI/1H1� f �Iisp iy 99 /Y%
Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3-
Load Ticket A,//? S
Ticket No.
1�unicipality (Applicant)
rr P im rac r
!� 1 Aa�41 S.' �{tE4T. dw V6 S
9�oz AAC Sub -Contr ctor
Truck No
-ri/ T2 v(f l�- Capacity
Truck Driver (pant legibly)
bv,CS VAS Qvt Z
Vegetation
El C&D
❑ White Goods
❑ HHW
❑ Other' See Below
Time Date Inspector /Monit
Unloading
DMS Name and Location
j701 hDsJ 10z'4. Si r R vAan�� E {BPc�y 83/y7
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
K"q"jI S IC t
'Load Ticket
Ticket No.
Municipality (Applicant)
PP I
04 oAMl � iloQcS �c
�ocso -'
�� ®a AJz
Sub -C
Truck No -r-r /v T Q J e IC
Cal
I
L/ S S (/O S Q L)
: V
S
�G
e {�
�— -�� Mlfaill /SIC(
Anfo CONnC6 ✓23,C -_
MMMMMM)O.150e-7y
Q Vegetation -- °� b, urmcivai v
❑ C &D
❑ White Goods
❑ HHW
❑ Other* See Below
Time Date Ins ector /Moni1
Unloading a � Nh /
]MS Name and Location
i ?®! njv 103'1. S, AIA44 k;7(std0. 83/y7
Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
V/i
/E V'' /\f l
Load Tic et
Ticket No. S
Municipality (Applicant) P im n ra r,
04iAml ,Ci'fDeF4 bat 1I 4.
•
tO0S0 � d fblf
I
Suer to
Time
Unloading
Truck No
Capacity
-P-- ,>-y
2�
Truck Driver (print legibly)
`
1?09 do 103'c sr
Vegetation
❑ C &it
❑ White Goods
❑ HHW
❑ Other* See Below
Time
Unloading
Date Ins ectodMoni'
DMS Name and Location
`
1?09 do 103'c sr
04IAlmi, 6 (�r,�� 39/47
Other Debris Explanation
Applicant
FOr,g,nal
Load Ticket
Ticket No
o aA4 i Hae" vt I JAQ e.
i00s'O ,v� �''d A)g
M44M' S (Me-e.19, F(& 38 tag
Truck No
31)
Truck Dri er (prini
4, 'P,
Loading
_ocation (Address or Cross
/U w iS+ A,,
N
Capacity
w?),S
1 P� y Jai;
W
SI
LJ cHD 7
El White Goods
El HHW
❑ Other` See Below
Time Date
Unloading l�
Ins ector /Monit
�i� �4' `l /7l ,
TMS Name and Location
1101 nau og'd s. Ie9,A.na, N(MJc, 39/&(7
Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No.
110QM6 dtf(A'4
"ub-Cftr cto ;
7No 77t 7ir7
:k Driver`` (print legibly)
rAA
)N
Vegetation
❑
C &D
❑
White Goods
❑
HHW
❑ Other` See Below
Unloading
)MS Name and Location ,5Y �0 /y � -a
1 ?o1 fjw to AA441,, f ctrw3 - a3iy7
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No.
At A441 J00 -Z64 Vt I IAq e-
�OOSO
Mi.o+K: 6 HBg�i •_!°�• 33138'
ick No MOMMEHIERIM
3l 1)
,L Vegetation °` urs, or/
❑ �,�
❑ White Goods
❑ HH W
❑ Other' See Below
Time ;st e Ins ect Unloading 3.d< /4�7f1 ,
i ?oa , M,IA441�1 E"tet -Jr, 33/W7
Dther Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No.
111Amti S'FfggA. V �� 4.
1005°0 Nf ,dj d AJr
Ali4M: g u®¢exi FXCa. 83139,
ick No MUMMUMULTOAZ
3161
3L15
�I
Vegetation iiacea i° DYs, orA
❑ r
❑
White Goods
❑ HHW
❑ Other* See Below
Time teL Inspe o
Unloading ,C0 I J tI fl
�- ! 1 i
110 nlc! t03'G Sr' 1Aw�, Ncrrad0. Ssiy7
Oher Debris Explanation
Original: Applicant
Copy 1:
Copy 2;
Copy 3:
Q` Load Ticket
Ticket No.
Municipality (Applicant)
P im Con rac
PA I AM I d r
Sub- Contractor +
Truck No '
I Capacity
Truck Driver {print le ib[y) it's
Time Date fnspectar /Mani
Loading ,�,,,,
Lc ±� 5 1 Location (Address or Cross Streets)
I f3 N4 c�a t /ICIMK ( eSHD Pea FL
jjgllil-M�M,
C
0l0 r3 a W
Debris Classification
Vegetation EsIImated• °fa, CYs, o Ac
r tual We
❑ C &D
White Goods
❑ HHW
❑ Other* See Beicaw
Time Date dnspector /Monitor
Unloading
k) : 5 "7 to q 17
DMS Name and Location
*Other Debris Explanation
Original_ Applicant
Copy 1:
Copy 2:
Copy 3:
Load Wicket
Municipality (Applicant)
Ticket No.
P im Con rac r
gg
S 1
� o s'o E Sub- Contractor
Truck No
'
Capacity
Truck Driver (print legi ly)
al '
Loading Time
Date Inspector /Monitor
Location (Address or Cross Streets)
-b
3138
6:$Coa7
w
Debris Classification
'
Vegetation
Estimated % CYs, or Actuai Weigh
❑ C &D
❑ White Goods
❑ HHW
❑ Other* See Befcvv
Unloading Time
Date inspector /Monitor
D S Blame and Location
-
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Tick t
Tcket Nc.
Municipality (Applicant) P irr' Co rac r M. �'��I
1 S -0 fE Sub -Contr cto
Truck No i Capacity
�%Gi If�2 St
Tru k Driver (print legibly)
3/ Z!
Time Date Ins ectorlMon!tor
Loading
Location (Address or Cross Streets)
2b Nt `fYSr // vecs �t c3!
-m-DOMMO al
Debris Classification
Vegetation
Estimated % CYs, or Actual Wet ht
❑ C &D
❑ White Goods
❑ HHW
c/
!
Other* See Below
'
Time
Unloading
Date Inspector /Monitor
DMS Narne and Location
11,70:
,A,, tPe,J 29lL(7
r
'Other Debris Explanation
Original_ Applicant
Copy 7:
Copy 2:
Copy 3:
wPt Skt/ F- v>q�S
Load Ticket Ticket No.
Municipality (Applicant) P im Co rac r
04i4ml �ooe ¢;1fg � /
100.70 NC 69 'a A),6 Sub -Contr cto JWJ
Truck No czTy T,f L)C IL Capacity
-,�- /o(- �6
Truck Driver (print legibly) J
�N l>A/��rl�G I`'�v� 6
Loading r
Location (Address or Cross Streets) _r i
Nal WiU,���iUy
Vegetation
❑ C &D
El
Goods 9O `
❑ HHW /
❑ Other* See Below
Time Date Inspector /Mon
Unloading
DMS Name and Location
04 14M,41 E iiPa�ea 83/x/7
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3: