MSV TRUCKS 10.11 LOADS9rcrSI y F�V,9AS
Load Ticket Ticket No. /� S
Municipality (Applicant) PO rac r
P4 i aA41 C af®Q�s
iOGSO NE cO- AJs Sub -Contr cto
�Eii�an: 6 �i® � rlo. 33135 IW'
No Cir y rAt C- K- Capacity
Drs Vass
P
'F_ 1�Aro1
U C &D
❑ White Goods
❑ HHW
9
❑ Other* See Below
D
Time
Date nspector /Monitor
Unloading
f
C
DMS Name and Location
h4! /03'G Si
rArnc //7
$1-701
�
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
0 0
Load Ticket
Ticket No.
IiAMa Sifse2F4 t,01 .4qZ
iovs'o Pf 40" Aj'
i4ii4.u: 5 rte f r=(ac. u tgS
Truck No C i4 y
'AA - 11111
Loading I i2 Jr,
Location (Address or Cross Si
UE 0�h1 0 Io8 s-�
N
,K Vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other* See Below
Capacity
2�
i l��ll�1 i
W
lAT.2ag73f
80a7Cj
Unloading �
�l
DMS Name and Location
nog M1i41 103,6 .6-11 AA,wi� ecst.du, $3 /LA?
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No. g�j7
Municipality (Applicant) P n rac r ,
a afAl C X41 i�
tov o tab �Ja Am Sub -Contr cto -
Truck No CIS 1, I U& Capacity
MS -11110 2�
Truck Driver (print legibly)
ErnfrArueL Lou i <
Time Date Inspector /Monitor
Loading ;�5
Location (Address or Cross Streets)
rje q- P--r- grI5 Z5.
`Sd, 189-4
N I
X39 Vegetation
❑ C &D
❑ White Goods
❑ HHW �
❑ Other* See Below
Time Date Inspector Monitor
Unloading 9/�/ � I' I �^
DMS Name and Location
not roW 10,{,4 ST-1 Wi&A -W'f Y(8t J46- $$ /q7
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No. if 33�
Municipality (Applicant) P� n ra r
M i q4t °t C ffae 6�a �d 4
1006,0 .N Sub - Contracto
Truck No I Capacity
Ms -1110 2
Truck Driver (print legibly)
_C � L OU i
Loading Information
Time Date Ins ector /Moni
Loading 0. II��'ItJ7
Location (Address or Cross Streets) O�
C1 ALq
N I
,K Vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other' See Below
Unloading 10 ccu
i
DMS Name and Location
nol 0o 003,4 S—,/ pdcAmc ecs,dr, e9 /47
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
d 1 Aarl C ifoe2 54 4
cOOSO Raw Q d AJs
Truck No C I+Y i fV
6
M 11j0
Truck Driver (print legibly)
Em mGn-tl IOU ls
Loading 12---34
Location (Address or Cross St
N
Ticket No.
Capacity
IU
Date j Ins ector /Mc
)10111113
LAT . 2.5-9720,
1-0Ng . - 80.048
W
=`urnaiec %o, GYS, or Actual V
Vegetation
❑ C &D :ni El White Goods
❑ HHW El Other* See Below Time Date nspector /Mon
Unloading
DMS Name and Loca ,on
1"701 tJ<J 103"— S1 A�us§wt� s%d�ra3� aa3/%97
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
1
Load Ticket Ticket No.
Municipality (Applicant) P im
P4 aa401 Cifa�Z" 1i a
1006"0 PF 64 d {ii& Sub -C
Mi4M 5 01*42j f7fo- 33135 h
Truck No Ci-+ ! —I (L)Ck
M- /Ito
Truck Driver (print legibly)
Loading
or
NC 11Pu'c-- 110 5-5'
N
2S ra(ii� +7
�s reets)
W
Vegetation
❑ C &D
❑ Whfte Goods
❑ H H W
❑ Other* See Below
Unloading
IDMS Name and Location �a
( -101 hDaJ 10z",— Si l �AeAMt/ Y(®ra3e. 331s/7
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No.
Municipality (Applicant)
P
JAIAati €fae$4
100.5'0 Su J
Truck No
Truck Driver
Loading
10.3,3,�(,tllo
Location (Address or Cross Streets)
NE l lYj-
N a5.
W-
--" - �auineiea %o, l:Ys, or Actual Wei ht
Vegetation
❑ CSD
❑ White Goods
❑ HHW
❑ Other' See Below
Time Date Inspector /Monitor
Unloading v
DMS Name and Location
(101 104) IU$,G Si l P4oAmI, F(®r.dr. 83fy7
Original: Applicant
Copy 1:
Copy Z:
Copy 3:
Load Ticket Ticket No.
Municipality (Applicant) p im
04iA�1 -C Ose" 6%��t 4 mi
IOVSO N� 0", A)' Sub -C
r(a 33136
kfmIFfI 7
(printI
Loading
Location (Address or
U, � 1p -4 / &,(C
n
M
Capacity
Date
io. i) Vl
W - %-,). �,
PI
EbUrriaie0 %o, GYS, or ACtual Wei It
7FQJC getation
D = /'1 ite Goods ( /1 %� W �'(J�, 6 er See Below
Unloading
1
DMS Name and Location
i ?o, 04) log 4 -5 , PivAa"', , f WIJ4w 33iK7
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket N
A401 pe va 1 i I � "ARAF S
i00SO NG $,A' Air- Sub -Contr cto
rM�4,N; S 4fB¢c�£� wlet. 33 tS+g P" WI I S1
Truck No Capacity
rw\ \:'v 51\,c7 I 7I _
IIu
Loading
ILi t 3v AJ-) i to 11 l-I � ,gym, \ 1Z1 cyxA
Location (Address or Cross Streets)
S1rwc?
N o-) `J - ? )c, In I W
PUnfoading m�amcauun Estimated %, CYs, or Actual Wei ht getal on D W Goods W er* See Below
Time ctor /Moni 50 (� ( I lq �`� . I-
1-701 nDcl 10300— si l 141A."" F (®r,aa. 33/17
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No. 14331
Municipality (Applicant) P� n ra r r
�
04iAa Cifae44 1's0Ia sma
1006'0 P6 e,4 Sub -Contr cto
Truck Infor
Truck No (14Y +SUCK Capacity
Ms ` 053 2-4
Truck Driver (print legibly)
L U i S kerArj n Jp G
Loading
_ocation (Address or Cross Streets)
A, 4WC�V X6'9 g0-,Igi4
N IW
Vegetation
❑ C &D /��
❑ White Goods (v/�J
❑ HHW �
❑ Other* See Below
Time Date Ins ector /Mon
Unloading jo�jj
DMS Name and Location
I ?o a 04J 103'A S—,? AA-WW , e0tsja,. 23/4{7
`Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Tic" ket Ticket No
4 iAA41 Cooe AN--
tOOS® d y1Js` Sub -Contr cto
pla4M S OOZ401 33138
Truck No ci+Y Truc � Capacity
M -05122 2�
Truck Driver (print legibly)
lk
Loadinq Information
Time Date Inspector /Monitor
Loading
Location (Address or Cross Streets) � 2$ �
g/ 7
OE log p, 6Ce 1t54-
N 1w
✓cuua inaao1111.Uu1i CbnrnaLea %o, t ys, or Actual Wel nt
Vegetation
❑ C &D
❑ White Goods l //I/,1 r
❑ HHW `/�
❑ Other` See Below
Unloading
DMS Name and Location
1-701 00 103"G S-11 WioAat r Y(+'&JA.
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
d i Aral S ffso&&S V, I IAq Z
IOGS'O Nf Ada Ass"
No GkY�CfU�k
A _ 11Cn 2
is HcrtQwdc;-,,_
Loading
3�soi
Location (Address or Cross
NC 11Yaf, , IK s6
N
❑
C &D
❑
White Goods
❑
HHW
❑
Other` See Beiow
Time
Ticket No.
Capacity
QA
L
1 1011110-
LoF 2�.�720
Lora =BD 174
W
�1J
Unloading
DMS Name and Location V 1
('701 iJU 1O3"c ST-1 eioAm'41 a%(*hJr, 33 /+(7
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No. 112
Municipality (Applicant) P im Co rac r
04 1 AOs i i Hae$S V I (A ,C. � ,
1003,0 NiE �''4 AJz Sub -Contr cto
r4ti4.nn: S uBtt�v1 �(A. $313T IWI
Truck No C +Y `}N6
M�- ®523
Truck Driver (print legibly)
Luis I &ncknc
Loading
110:
Location (Address or Cross Streets)
QE #h, l 105 5�
N I
_go. t7s�t
A Vegetation
❑ C &D
❑ White Goods C�
❑ HHW 6� a
❑ Other* See Below
Time Date Inspector /Monitor
Unloading
1109 (J 16) A®$'e- .9-1/ 044414t, N(fPadr, 33 /47
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
9,9 A/ S ky k V Esc S
Load Ticket Ticket No. / " ' S
Municipality (Applicant) P� rac r
JAiAmi SHve,F4 Vc
IovS® N - '
®� ' AJ Suer ct ,
Mia.w: s u ®acts, w[a 331x8'
uon INU --y 1 Iwo I Capacity
lot y ��
Truck Driver (pnm legibly)
P)4 C- 6,c cAj�jca,
Time Date Inspector/Monitor
Loading g ;ov
/D -// -1; ir1 -Ski fl��f
Location (Address or Cross Streets
RUnloading cYS, orACtual Wei ht
ation
Goods
See Below Time Date ,hlrl n .,
i ?O► 00 103'C S1 l edi��, E fe�,dG. 33/y7
Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No. �� S
Municipality (Applicant) P' im rac r'
!� I AeA i S ffae," Vi 0
i047S0 N6 ®'`i A),E Sub -Contr cto
1%14Mu 5Q040� , P(a.33135 M,�1� �I
❑ C &D r
❑ White Goods [)
❑ HHW v �.
❑ Other` See Below
Unloading �I ' I I
DMS Name and Location
(lot 00 103 i AA.cti� e%(argjc, a3!`f7
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
XiOIsY-q Fv/)�JS
Load Ticket Ticket No.
Municipality (Applicant) p
MiA�i CNoees Viii e
1OOSO P6 ®`'d Any Sub -C
r3iiAao: g u ®gc5, rLa 831 .38' IM
Truck No
Truck Driver (print legibly
MULLF2
Loading
F'o a
- ocation (Address or Cross F
G 2, nL cos!
N )7-,%6y3bo
c/ ClC I Capacity
S
,,Aj
Date Ins ector /Mor
/,, - I fy--,S k t/ F, (1,
ve - 60�LC --
?N_`��, I �51-
IA Vegetation
❑ CSD
❑ White Goods
❑ HHW TJ
❑ Other* See Below
Time Date sector /Mon
Unloading
DIMS Name and Location
1"101 04) /03 "6 Sr a��aMa, t l7mja, B3/a{7
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy Z:
Copy 3:
Load Ticket Ticket No.
dtAMi Cifa4,%6r, v,IJ�k
10660 NJE $,6 AJE
Mj,4m: 5 aoseu ;i o--(0- 83138
ruck No
ruck Driver (print
MLitL,E
ry c/C lC
Date
Loading (A ; o
1 i //�) )/.a /j (SL -t/ `Vii
Location (Address or Cross Streets)
96 S7 -)d ,r 4) %CAI %•
C
Pd
Nam,/ 66x61 w43c)./04331 -?
Vegetation --
❑ C8D
❑
White Goods C
❑ HHW J
❑ Other' See Below b
Unloading Q�
Time Date tns ector /Monitor
� � I
DMS Name and Location a r
1'101 r�jw I0$ °6 s. a �RM�, NtrP.da. �3iy7
`Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
VgrP isIc
Load Ticke
Ticket No
M 1 AM i Cffa P,E,s Vc I IA MI, S
10 19,570 J6; f- ®�g Ails' Sub - Contracto
Truck No £ Ca aci
96 DT
Truck gibly)
MUL-(- L SAMr,J
Time Date Inspector /Monitor
Loading
a : 3 1� i iu
Location (Address or Cross Streets)
Vegetation
❑ C &D
El Goods
❑ HHW
95
9
❑ Other = See Below
Time
Date Inspector /Mon
U nloadi:::I
(r�'
�vJ
DMS Name and Location
i ?o, fo4) 103'4 ST',
w41a.,', e(srade,, as/y7
,
Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
V,0)413 k
Load Tick
Ticket No.
04 a G:Ntt i ifat44 Efc e-
10 VS0 Na ®,d- fall
r�tigan: s u ®g�� ►=fa. 33138°
Truck No eZaga5j;—m? /i,,-, II
�/ S r)- J2vctci
Truck Driver (print legiibly)
Loading
_ocation (Address or Cross Streets)
Capacity
DG
SI
Vegetation
❑ C &D
❑ White Goods n/
❑ HHW
❑ Other' See Below
Time Date Inspector /Mon
Unloading /
DMS Name and Location
i ?o/ 100 103'd s. r���a��, c= (+4�ada. a3iy7
Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Vin(
KG}Aisicy Fv'9/v5
Load Ticket Ticket No.
Municipality (Applicant) p
JA I 40A i ffo¢cS V: ��G
100670 Ntt i�''a A✓i Sub -C
agli ;at; S cf® , rlo4. 331,;8` I N
S
Truck No C i 7 Y 7-R- v��r_ Capacity /
Truck Driver (pant legibly)
Lols VA5q)okZ
Loading I/ , 3 U
Location (Address or Cross Street
Z
W•N:
AvF CAS
W SD, 19 0 3z v
ado
F VA.Ij
❑ C &D
❑ White Goods
❑ HHW
s
❑ Other* See Below
Time
Unloading C/
Date
Ins ector /Monitor
C
U
DMS Name and Location
F101 041) 103,4
Si
1+:1Am�r
� frred� $3/8(7
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No.
A l AM i C ffae64
,00SO N� �''a AJs
Ati4an: 5 u ®acv, ►'ta. 331,8'
Truck No
3161
iruckpriver (print
E,��i&
Loading
Locapn Address or Cross
2 t) a-' i-
M����- /dvGe
M
�I
Teets) o
2,654
1 �01 x` -21
W
iaiea crs, or Actual L
Vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other' See Below
Time Date Ins ector /Mon
Unloading �DQ 1 '
DMS Name and Location IT
1"101 h1tJ 1031G ST' 141 g44 r Fftr.d� 33/47
'Other Debris F� planaticn
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No.
A I
10aso NE 69
MI.gM: S HBa�r
b AJs
rtes. 331��
Sub- CContr cto
/�` I
Truck No Capacity
t3ibl 3`
Truck Driver (print legibly)
Time Date Inspector/Monitor
Loading � 7
Location (Address or Cross Streets)
"Oil S
Ndv 2')
N I
.K Vegetation
❑ CH
E01 White Goods
❑ HHW
❑ Other* See Below
Time Date Inspector /Monitor
Unloading �I A VA I IT '11
('701 0() 103 "4— -ST —1 AiAm41 FfargJF. .23/47
Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No.
b i AA4'4 �{pQcS
✓t �� G
� ,
1006*0 N6 c4
MiAA4: 5 000401
a AJir
0=1�. 331,x1T
Sub- CContr cto
4"
t) u 131,
:Driver (print legibly)
f;�1rt Si4&
Loading Iss Location (Address or Streets)
N'fL 4 t1" t 'z 5, 144-N � g
N I
❑ C &D
❑ White Goods 95o
❑ HHW
❑ Other* See Below
Time Date Inspector /Monitor
Unloading �,�
IDMS Name and Location
not 04) 103,4 S1 N�sA�i� F16/edu. $3/y7
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
a
Load Ticket Ticket No.
Municipality (Applicant) (( P� rac r,
1005'0 aiK 9 d A)g Sub -Contr cto
1bti4an: 6 HB2, i°tA 331g'S� �, 4A
Truck No Capacity
8161 ?(,_S
Truck Driver (pr nt leoibly)
t
it✓
Loading
ocation (Address or Cross Streets)
25.860 -4
600 (4-A2
N Iw
Vegetation
❑ C &D
❑ White Goods
❑ HHW
ZnsRectorlMonitor
❑ Other` See Below
Time
Unloading
Date
DM�S Name and Location
i f ®4 �6) ®3a�
` JI
�
i
PlAm%
f (PhJa0. aSSAO
"Other Debris F� planation
Original: Applicant
Copy 1:
Copy 2:
Copy 3: