MSV TRUCKS 10.05 LOADSLoad Ticket Ticket No.
Municipality (Applicant) P im
i4aA0a �afaet," �41i ,4r
10a6*0 NC ,�L,-' AJs' Sub -C
Mi M+ 5 o49gZXi o=(A- 3313$' I IN
Truck No Capacity
: I ,a
Truck Driver (print IeoIbIV)
Loading I q I J—o a SPi71Y1 1Ylurri
Location (Address or Cross Streets)
N I
iK Vegetation
❑ C &D
E] White Goods
❑ HHW
b
�f %%�
❑ Other' See Sefow
Time
Date Inspector /Monitor
Unloading
9
IdA- /1011
IDMS Name and Location
i ?o 1 104) 103 °° sr, AA."', c =wgjo0. 39/47
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No.
Municipality (Applicant) f P im
P4 9 AA4 t jC ifsess,6 F s 9 (AC
10V rO NC
4 a Air- Sub -C
1%44mw S 0042 I�j r=la 33138' 1 im
mo
Truck Driver (print legibly)
L,V S herr qr)d -e7.
6
Loading I F 3:� 7 I U � 5 ------ .iPgYi �YY1Gr�1 S
_ocation (Address or Cross Street)
N-� 10 � S14 J, - 9
Ne 5 11 W W, 1 81 "
N IW
tstimateo %, CYs, or Actual Wei ht
Vegetation
❑ C &D � 5
❑ White Goods
❑ HHW
❑ Other* See Below
Time Date Ins ector /Monitor
Unloading �i `} % le I111
DMS Name and Location
1101 r0f) 103'4 S-11 plAm,, t=WaJr. 2.1/47
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No. M
A iagoa C ksoZ.,s
�a 1 JA
!ntr a
1006"0 A)6 d9b
CJ'
Sub -C cto
Truck No I Capacity
mss osa3 d
Truck Driver (print legibly)
L-vrS - NPrnar��r_
Time Date Ins ector /Monitor
Loading S, �a I O/S • SPCC h rrl orn
_ocation (Address or Cross Streets)
5. <Z61,6
N �W
aeons �iassmcacnon Estimated %, CYs, or Actual Wei ht
Vegetation
❑ C &D —70
❑ White Goods (/
❑ HHW
❑ Other' See Below
Unloading me Date Inspector /Monitor
C?7 I /O /g zw�t
DMS Name and Location
(101 NW 103'4 Si l A14m,� 33/47
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
AIAmt S'djgec4 Eva {1�4
100SO NC' e9'a A)i
Truck Nc
�n. �#
Driver (print legibly,
Ticket No.
Capacity
a�
r► 0z -
Loading
Location (Address or Cross Streets)
Z410 NE
N 1W
K Vegetation
LDMSH L/d
White Goods
HHWOther* See Below Time Dae Inspector /Monitor
oading Name and Location
no it oo
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket I Ticket No. MCC
A a AM i -C Hates 4 i S
100so t0 f 0A- Ads' Sub -Contr cto
Mi.�ai: s u ®ate, +'ta 83 t38 �� I
M S O q 01 I (c��
Truck Driver (print legibly)
Ru Ue I r).1
Loading
Location (Address or Cross Streets)
Nt-7 (I 44hS4 d Fj
14E I:-)in V<,
�g Vegetation
❑ C &D
❑ White Goods -7 7 /
❑ HHW
❑ Other* See Below
Time Date Ins ector /Mon
Unloading J. Oq �6 /s ill
DMS Name and Location
r7o9 oo 103,4 S-11 M�Aa��, *;w4je. as/g7
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No. M
Municipality (Applicant) MSub-Contr C rac
tAt CKssQ¢S Vi11 et
t0®b`o NE r a pjy cto
Truck No
Truck Driver (print legil
►2k)-If -,0 1 1
Loading
Location (Address or Cross Streets) -�
N W
�Q Vegetation
❑
C&D *
❑ White Goods
❑ HH W :F
❑ Other See Below
P,
Unloading
DMS Name an7d Location
I ?09 rQai 103'4 sr-, t41449,4 , e0tadc, Zs /f47
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No.
Municipality (Applicant) P im
100so !V f `4-
� /IJs Sub -C
1%1'4ms 6 Pf®R-44e +"Lot 33138"
Truck No Capacity
MSS- 0 go C
Truck Driver (print legibly)
LSS-E [)<n Y f-P 1'1
Loading
Location (Address or
W, 4 S r
V, I.Q Utn
[IT]
or) i to / J C
s Streets) C
W
r01
JK Vegetation
❑ Ci£D
[] White Goods
❑ HHW
❑ Other* See Below
Time Date A Inspec r /M
Unloading u1 onitor
0l /!/ s� x1 //
1'701 IJW 103'° SY, A9144a,, e0tsda, asry'7
Other Debris F� olanatinn
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No.
AtAaA °t SgaeeL 0/a (may4
106670 j3f- ®'d� ME
fbtiaas+ S uea�, rtes. 33 t,;g°
Truck No
Truck Driver (print legibly)
P,QSS -e1 oqrf-en
Loading q . S
Location (Address or Cross
Nr7-: A 0 � '
ticr_ C +h Alto
N
of
s)
- go.iY,�6
NTA
.K Vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other* See Below
LA
me Date in ector /Monitor
*Unloading 6,0(� is "s ocation
s1 lanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
1cA,ArIsV- Y" ;EVA)-W
Load Ticket Ticket No.
Municipality (Applicant) p
04iAs1i C€faeZ4 ✓cfJAG4
10G ro /+a t^ �jq 'd A)i v Sub -C
Mom+ 6 OW-40i F=(0- $31 .35
Truck No Y Tk //c ie Capacity
/olo C4 6
Truck Driver (print legibly)
Time Date Ins ector /Monitor
Loading ov /0 40 7 /S i
Location (Address or Cross Streets)
WAA
• J
❑
❑ White Goods
❑ HH W
❑ Other' See Below
Time Date Inspector /Monitor
Unloading
DMS Name and Location
1'701 00 / ®3'G Sr_ 004is ,ecptgdu. as /y7
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
V)9141 S,V—v L l vlq,�c f
Load Ti6ke
Ticket No.
Municipality (Applicant)
P4 IAA41 C0aU4
v, 11.4
P� ra r,
tORSO Nc eqL,a fits'
Sub -Contr cto
Truck No Cam%
C L Capacity
-t�:- /ory
Truck Driver legibly)
/(print
Time
Date
Ins Actor /Monitor
Loading
I a-
0 -5 -I
Z� IS�CC FE V4
U, Ml�
yT S� AJ r
All
WSv. 1w�- v 3
.K Vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other' See Below
Time Date Inspector/Monitor
Unloading ; 13 1a1511 �I
DMS Name and Location
i ? ®I 00 103'4 -5 , �visaiNa, F;Wc6a. SS/L(7
`Other Debris F� planation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
ES
r F5
K ,j)SV -I/ fv,q,�e5
r5
s
(Load Tick t
Ticket No. S
Municipality (Applicant) P� rac r'
P4 a A� i C € &,e44 �� � Asa �
1006® NE eo f6Jb Suer cto
v(it.
pli4nn; S cfB�wrr $s'taT�
ti
Truck No Capacity
Truck Driver (print legibly)
GiAjcL
Loa
Time
inginformation
Date
Inspector /Monitor
-5-, L15-
I i l
14q>nillcc
Loading
Location (Address or Cross Streets)
N a,<-. 436/G� �. W 5o: l5c" gS�/
Debris Classification Estimated %, C(s, or Actual Weight
Vegetation
❑ C &D
❑ White Goods �J ge
❑ HHW V
❑ Other* See Below
Time Date Inspector/Monitor
Unloading
/z'4 h)t
DMS Name and Location
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
r5
s
Load Ticket Ticket No.
Municipality (Applicant) p
t41 AA41 jC j98 V, { 1.4q e-
100SO A;f e0"' AJz j Sub -C
1%14mw S o(®¢. ;t F=fo. 33139P I Im
Truck No
mj #��I�
LuIiS'
Capacity
V
Loading -
_ocation (Address or Cross Streets)
(�11V154yq d Iu
N 1W
sl
s
7DHtH „ �a csnmateo io, GYS, or Actual Wei ht
ation
Goods
See Below
n oading
Name DMS and Location
i ?o► 10w a03 °4 .5 p8igtia, c,Pod�, asit(7
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No. S
Municipality (Applicant) {{ P� rac r
14961 6 Cifse",Ci 196�I s
1005°0 p76 9°6 qjg Sub- Conntracto
/blight: g r{B/lu�t ''l c, 391,35 1
Truck No Cfi 7 L/ #_d C IC I Capacity
Truck Driver (print legibly)
t v s �(
S RS W (IF )
Loading _ v
_ocation (Address or Cross streets)
N W ,6 0.tb% Is
Debris Classification ;Est,,mael %, CYs, or Actual
Vegetation
❑ C &D
❑ White Goods ❑ HHW
Other* See Below
ime Ins ector /Mon
Unloading -I
DMS Name and Location
i ?o1 9V4) 103 >4 s. r iaw�, cu.30. a3/ &(7
Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No.
Municipality (Applicant) P im Con rac r
t0 ®SO /06 69,a AJ.i Sub -Contr cto
Mi4at; 8 H®�4�f v[at $31,38' IWI
Truck No QJ T 1/ -�rt U L_ Capacity
Truck Driver (print legibly)
LIB -T S V.0 _S ✓fCZ
Loading Time Date Inspector /Monitor
Location (Address or Cross Streets) tv
N 25_ g6I.26 -7
.. --
Vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other* See Below
Unloading
DMS Name and Location �l
1-701 fjo log S-11 P'[iAmn , t%C0Pa3a 39/47
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
KPN ls k v E,
Load TiclCret Tickiet No.
M�ugnicipality (Applicant) { Im
if
10 ®$0 �0: ®'a A),6 Sub-C
1%14.4: S 041R160<1 @;:(o- ag 1.3g
Truck No TbLv C C
-�3
Truck Driver (print legibly)
G ✓ts VAS w.
Capacity
CP �
I
6 a�
,K Vegetation
❑ C&D
❑ White Goods
❑ HHW HW U
❑ Other See Below V
Unloading
Time Date Inspector/ on
/�:a0
DMS Name and Location
1i 91 n)w 103'° Sr 041aw141 83/47
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
v/9Vi
K�n� 1 S Ic f �• pis
Load Ticket Ticket No. % S
Municipality (Applicant) P� rac r
P4iAMi Cffsef4 C/c apis
100660 /0C '0
� 4 p,16- Sub- Conttr cto
Miana: 5 (0*401 PC& 331 .38'
Truck No q CZ7 TR f C i I Capacity
1 a-
0LL/=2
Loading
Time Date Inspector /Monitor
7;5� .!o OS /7 I<AnC 15k /t /lri9
Location (Address or Cross Streets)
7-4
AV
N
w '30.107 IS
- -- "- - '--- "'-_ ° °• �mn ncieu %o, 1,T5, Of HCival VVeI h[
Vegetation
❑ C &D
❑ White Goods
❑ HHW l
❑ Other* See Below
Time Date Inspector /Monitor
Unloading <S.'�S�
DMS Name and Location
i ?01 t,)v eo3'G sr, AAai'�,
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
�Anl r S icy F l�A,✓J
Load Ticket Ticket No. �% S
Municipality (Applicant) p� n roc r
04iA0 i Ct$o¢,cs �;IIA � S
1005"0 NE c9Jd ME Sub -CoijA to
aA'l i.$M: 5 t4 ®2c�,, Ytst. c33 tag ,
Tr uck NO Capacity
CY/ %avc -Ic- �
Truck Driver (print legibly)
A,r� A T ,4,A,,
K-,q A1 is k v f-- V,aA,S
K Vegetation
❑ Whfte Goods /U /J
❑ HHW
❑ Other` See Below
Unloading Time Date Ins ector/Monitor
/1: 6-(0 lt4,%s - /,),I P _
1101 luw e 03'° S-11 A14mb, Fc.P�3�, asi�7
`Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
k ,q,.l L s
Load Tic
f— V/�x f
Ticket No.
P4IQA46 Cfloe" b', I JAQ, e-
10 0,57 4' AM
1b11gnn: 6 reef Ff�t. wag lv+'$'
Truck No C_T
TP /r) iA(
Loading IN
Capacity
b(-r9
f:
M
P
Debris Classification Estimated %, CYs, or Actual Weight
Vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other* See Below
Time Date Inspector/Monitor
Unloading
1 '708 00 /03�C Si / /�IANi'c NCIPcja. asig7
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
r� ice(► S lc � � V��.il l
Load Ticket Ticket No. ��'
Municipality (Applicant) P im Co rac r
04 a A441 .0 Ha26s I ,1(� � � ,
109so toe &qO3 AJs Sub- CContr ct
Truck No C-T. jj V TY- J e t I Capacity
N
Time I Date Inspector /Monitor
Loading y
`{ .�� l o/OS
Location (Address or Cross Streets)
T 1
N 93.(66►- (.,?
WS3v.i ?6 &C6
Vegetation
❑ White Goods
❑ HHW
❑ Other* See Below
Time Date Inspector onitor
Unloading
DMS Name and Location
1101 100 do3 Si p1sAa,�a t: (Cstajc, 33/47
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No.
A a ANe i Hm4.ES V� Mir S
1006'0 NE �q,a AJs �Sjwlj
rMiA.vt: s cf ®¢w {� r tat 8318 qj
Truck No I Capacity
f 61 3I,�
Truck Driver (print legibly)
L
1 ime I Date Ins ector /h
(1
Loading ti r ,<A r �.
Location. (Address i Sc jp S refits) l
•, . f� ql ff -Ir 1
N IW
Vegetation
❑ �� %/ /
White Goods
❑ HH
F] White
❑ Other* See Below 5
Time Date Inspector/Monitor
Unloading
DMS Name and Location
1 ?0 1 A1&) 103 G S1 j 04IAM'�/ k;(0,'4JC, as /y7
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No.
Municipality (Applicant) P� rac r
M t Aae1 C ffae" V 0 to � amir SI*
to 0,5,0 N� � a A1z Su��r ctor/
M +a.H; s �1eas, rtti 33135 %Mai
No Capacity
I,
Time I Date I Inspector /M(
Loading
LocatioP (Addre s oorr Crgs}s Streetsl)
A 1 4=- i ih
N I
�Q Vegetation
❑
C&D n 7�K
❑ White Goods
❑ (� /�J
HH W
El Other* See Below
Time Date -Inspector/Monitor
Unloading
r
J/,
t�
1'70I 041 1(23 "A Si �9iAµ'� E fA�uSa BSI�l7
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No.
Municipality (Applicant) P im
IA I AA4 i C tfa�.6,s t/c 0 144- e
100570 Deaf 0"' ply Sub -C
rl7iA.vt: 5 u ®, a=ta,. vat t3fi
Truck No Capacity
MS* III() I aG
Truck Driver (pint legibly)
Loading 14 : X10
Location (Address or Cross Streets) > _
YJE. q H St /
7
in
Si
P�� 1�1'IG11^i 5
�9 Vegetation
❑ C &D
❑ WhI Goods
❑ HHW
❑ Other* See Below
Time Date Inspector /Monitor
Unloading
A,01
DMS Name and Location zz
n 0 1 tow 103 ",- sr, AlAm� e0lsje, as/L(7
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No. fhsy
>� 1 i1Rti t IiOQ.wS
d� I $.�,
�I
10OS0 Ni '5�
M +aany s c+e��
a AJi
►=ta. 83138
Sub -Contr cto
�,
Truck No Capacity
msf iIlo a6
Truck Driver (print legibly)
EvIlanuet UU(S
Loading
_ocation (Address or Cross Streets)
t4e 103 s� dS. 8616
m-e qth We — v �I [, ]
N 1W
Vegetation —F 6X7
❑ C&D
❑ White Goods /
❑ HHW o
❑ Other* See Below
Unloading �,�
t
DMS Name and Locau n �®
I-IV) fvU 103"-4 S-11 04OA4, N(lPsJ0. 83/47
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No.
Municipality (Applicant) OSubb-Contr Co rac r
JA i AA4 t _C jf6e f4 V, 01.4*,
1006'0 Nw c9 a A)i cto
(449S-401 PC& 69 1,39P
Truck No Capacity
3 I b
truck Driver (print legibly)
t, t 1 ,
Loading 15ha
Location (Address or Cross Streets)
b /Y� U'� 1 Je. J
NIF- (Coll) s� /
w
Ve -" -- �mnim�eu %a, I:YS, orHctual Weight
getation
❑ C &D* ❑ White Goods q7Z
❑ HHW
❑ Other See Below
Time Date Ins ector /Monitor
Unloading 6: q� r /I �
DMS Name and Location '
1.701 h7U It7$'G Si 6►loAatiir f%feraa, 83/y7
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No
1AMI ,C ifae64
I , I la 4C
Wv
�
IOOSO N6
e A)i
Sub -Contr cto
M;anti: 6 01OZ °+ C,
PC& 691.39F
% I ,
4A
Truck No
(print legibly) I ��
1f
Loading �" ° " ""'
Location (,A�d/dress or Cross Streets)
1V u—: Z 1W 1
N I
- - Vegetation ---t - -
iaw nateu %a, VYS, Or Actual6
❑ C &D
❑ White Goods
❑ HHW
El Other* See Below
Time
Date Ins ector /Mon
Unloading
DMS Name and Location
1-701 tjo /O$�G Si
P:iAst e(9Psja,
$3ly7
"Other Debris F� planation
Original:
Applicant
Copy 1:
Copy 2:
Copy 3:
LLoad Ticket Ticket No.
Municipality (Applicant) P im Contrac r
fI4 AA41 C qe,,Z6� 11.4 S-
a 3,� Sub -Contr ctor
j MI a iv
Truck No Capacity
� . - (0� 13f
Truc Driver (print legibly
Time
Loading
Date InspectorlMonitor
T
Location (Address or Cross Streets)
�iZbcz 12 ��
a 33iS
•t o
se Dern� rees1�
N EedzS
W D t
Debris Classification
Estimated %Q, CYs, or Actual Weight
Vegetation
Q C &D
❑ White Goods
7
Q HHW
❑ Other* See Below
C1
Time
Unloading
Date Inspector /Monitor
DiM--�S Name and Lgocation
�
,q p
*Other Debris Explanation
Orfgfnal: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No.
Municipality (Applicant) P im Contras r
9 AOA € Ooh.&, �,1 J-4 ✓ �I
s Sub -Contr
Truck No Capacity
31 k- � S
Truck Driver (print legibI
Time Date Ins ecto. /Monitor
Loading
Location (Address or Cross Streets)
1Zvd ,-� Est- VPtAI r Ow 2e,5 3 38
1112T,41 IVIIII
S� °Z W -�'C3 _ l -745
Debris Classification Estimated %, CYs, or Actual Neight
Vegetation
❑ C &D
(] White Goods
❑ HHW
Q Other* See Below
Time Date inspector /Mc nitor
Unloading .
DMS Name and Location
7 t)4) 103 4- �;°, A�a� <, e. =�OP,4j C, as /L(7
*Other Debris Explanation
Originai: Applicant
Copy t: _
Copy 2:
Copy 3:
Load Ticket �
Ticket No Municipality (Applicant} Ticket
im Con rac r
r
I AA4.1 COae, x,11.4 S
r0 3'® .;f- c A)rl- Sub -Contr ctor
AiA, : 6 (40x5', ACA- 6-v
Truck No
L'�y T�Gt 3 ( (,z /a f
Truck Driver (print legibly)
126 KA-Ri)
t Time Date
Loading
b: 3c! I lo,� 2°I
Location (Address or Cross Streets)
Capacity
3(.5
inspector /Monitor
4iv Ate`(
1 z i 3 ti[g `� 33 (38-
�.� �L cT Hai �S
N 2S -rn��
Debris Classification Estimated %, CYs, or Actual Wei
Vegetation
D C&D
❑ White Goods
[] NNW
❑ Other* See Below
Time Date inspect r /Monitor
Unloading
-
DMS Name and Location
1101 fo 4) 103 "'o- .s�� a � °s� '(fit �. 39//7
"Other Debris Explanation
Original: Applicant
Copy 1:
Copy Z:
Copy 3:
LLoad Ticket
Ticket No.
Municipality (Applicant) P im Con rac r j
S
r 1 .0 A Sub -Contr cto _
Truck No
r
r Q�L� c31 b2
Truc Driver (print legibly)
i ime
Loading P..
6: r5
Location (Address or Cross Str
Capacity
gr� 1 �c•s
Date Ins ectarfMonitor
I J0 5 -Zorn 0.44 1 1)
s)
Qom- 6? caa5
W - &0. x- �
Debris Classification
Estimated % CYs, or Actual Wei
Vegetation
❑ C&D
White Goods
❑ HHW
❑ Other* See Below
Unloading Time
Date Inspector/Monitor
DMS Name and Location
1-701
*Other Debris Explanation
Original: Applicant
Copy
Copy 2:
Copy 3:
ht
n
i
hi
Load Ticket Ticket No.
Municipality (Applicant) tSub-Contr Con rac r
i [A I_ J40e S 5 �f S,
100 rO Pf. era , s' ctor
Af I
Truck No Capacity
Trucq Driver (print legibly)
Time Date I
Loading
Location (Address or Cross Streets)
BID
N
a w
- eUo �-
Debris Classification Estimated %, CYs, or Actual Wei ht
Vegetation
❑ C &D
❑ White Goads
❑ HHW
[] Other" See Below
Time
Data I inspector /Monitor
Unloading ,
DMS Name and Location
1-701 06) 100 s-11
� � 99/t(7
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3: