MSV TRUCKS 10.13 LOADSLoad Ticket
Ticket No.
10VS'0 N6 cod 6 AJi Sub- Contracto
tN�.aa�s: s �rs�, etas. g3►3S �� I Y
Truck No
3)�1
Truck Driver (print legibly)
EJJ G
Loading ry
CU i 10
Location (Address or Cross Streets)
IV dtt,.Qr�/ OCT. IAa»
N I
vcUlla �JaaWmcduon tsnmated %, CYs, or Actual Wei ht
Vegetation
❑ C &D
❑ White Goods
❑ HHW v b
❑ Other* See Below
Time Date InspectorlMonitor
Unloading ? I(� I
i-lot fill loos', -s / piAml gist &J h as A(7
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No.
Municipality (Applicant) P im Con'rac r
114 a ,�a ' �� �� S
Sub -Conti ctor
�x 1st
Truck No Capacity
3 «2 13t - 3-1 t3) 5
Truck Driv r (print legibly)
Time Date Inspector /Monitor
Loading
7 5v P t0- i3 -17�
Location (Address or Cross Streets)
ME 96*h tooeS 38
' N W - g®. ,s2�
Debris Classification Estimated %, CYs, or Actual Wei
Vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other* See Below
Unloading Time Date I Inspector /Monitcr
la
DMS Name and Location
,701 COO 603` . °
ir b 4, E%( *,r4JC. asItf7
*Other Debris Explanation
Original: Applicant
Copy is
Copy 2:
Copy 3:
0
Load Ticket Ticket No, 337
Municipality (Applicant) P im Con rac r
A4iA#aa 0aQF c �a1���� W l
i00SD !�� ® d f?oJs 3 Su�ntr cto i
tboisan: 5 cEd$f ,'�° auk
'3 se,
Truck No (_` ,+y -1 ru c k
Truck Driver (print
Loading A 15
Location (Address or Cross St
PcjrL Dr , 101 S-1
N
10 1 Capacity nn
Zb
IS
W
25.06'7%
-$C),.1929,
Vegetation
❑ C &D
❑ White Goods
❑ HHW �
❑ Other* See Be"VDate
Inspector /Monitor
Unloading -�I
I? 09 ADc! 103 "C' Si pSe�Nt, s%iBTac6a as /L(7
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket I Ticket No. 33
4iAA41 Cifa t�61f,� - �,ec-
rooso Nw ,�''� pig
asecann; S cFinaw't o'ia. 3� t�Tg
Truck No C i4 y
M- ►IIo
Capacity
Loading ctrl lo)f / -; (� P ► K'�
II' QU%
Lam.. " "" . i l�- :i
_ocation (Addressor Crass Streets)
25.85Q2
c �r4L?Gi b i a v
� -— —
Vegetation
❑ C &D
El
White Goods
El
HH W
El Other x See Below
Unloading
ame and Loca tion
1 10 103c .ST— AA."4 N(itje, 29!6(7
Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Louie Nckmyrn� O
Load Ticket Ticket No.
Municipality (Applicant) p Im
M 1 QaU14 � Hoe. �, 9 is� �
100so Nw ® "-1 A)i Sub -C
pi +q.vt: 5 cfB/arXj '=fo— 331 .38°
Truck No Cj �y
m- 1110
J-Wls
Capacity
IN
ON
Loading
Location (Address or Cross Streets)
Ue - -d06 Dr. C45+
W,
w
--- �surna[ea -ro, crs, orACtual Wei ht
Vegetation
❑ C &D
❑ White Goods (l_/(`�,
El HHW
❑ Other* See Below
Time Date Inspector /Monitor
Unloading
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No.
A I AM i�C Ko2,64 t ,1.la� e-
Mi4ma 6 Ffoa�j F=iat 33135
Truck No
3(bl
Truck Driver (prir
Fes; ,e�
Loading T) S
Location (Address or Cross Stref
Al \,v 41s4 f-
N
Capacity
X1.5
10 -U —►9
M9
�I
Vegetation
❑ C&D
❑ White Goods
❑ HHW —1/
❑ Other* See Below
Time Date ns ector /Monitor
Unloading
DMS Name and Location ((�
1-701 00 10$x° SY piAw,r i®ndG. $3/8{7
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No.
41AA4 IaV
!o ®S s
® PiE �"t A, 3
1%4Ma 5 01PSeXI FCa. 83138
Truck No
Truck Driver !
'L
Loading
aeon (AOoress or Gr
Nw V,�- 5-4--
Nw 2M
N
Capacity
?
l 2b.66o2w
8d• _2ol Z
W
- -- cmunatea 70, "YS, or Actual l
Vegetation
❑ C &D
❑ White Goods h
❑ HHW �� d
❑ Other' See Below
T' e Date Ins ector /Mon
Unloading
DMS Name and Location ?j
I ?01 Of) 103°4 sr �raaa, (%CdPa�e. 33ry7
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No.
Municipality (Applicant) p
M i AoA jC ifsegF,b wd�'
1 00SO Ne. e9 AJs S�
rHiA.vs: 6 cf ®f r�tc. $3138
Truck No
A16
Loading
11 .1
Location (Address or Cross Stt
�d-
[
u
C &D
❑
White Goods
❑
HHW
❑
Other* See Below
Unloading
)6 13
W
Capacity
3I ,5
_ 71
�OP 2G7,
SI
DMS Name and Location
['701 his) 9O3'4 Si . P��Ara`, *%7(ltgja as/&(7
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
bV I F V�a'Ylr�ll
Load Ticket tTicket Municipality (Applicant) INiAA41 C0ge>� p9ci00SO N6 ® A46
ri'1l4.w. 5 G(Bar*+d P"�dS. 6z 139P IN
Truck No C [T Y 4 -UG,
M -logo
Truck Driver (print legibly)
Awe( Limed
Loading
.ocation (Address or Cross Str
% c7 �
W
3
16110 � ,
ITITA
S
Vegetation
❑ C& H * ^ �
❑ White Goods (`� /j
❑ HHW
❑ Other See Below
Time Date Ins a or /Monitor
Unloading eM2 �A ',,,'jfi I �
n 0 1 niu to3 °e- sr A44j,�, J= (®r,>3G. .29/6!7
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
nn0y)
Load Ticket
Ticket No.
444^41 CO3ge &� daIJ�+-
t005'0 A.) f- g,04 A,%g -
1%4M: 5 9144 al l P(A- $31yS
Truck No
-1010
Time
Loading /0 ,1,5
Location (Address or Cross Strf
W- -7AvF- t 5M!v -rd
ILI
Capacity
2-�
S]
i 011;11-,
143 4
W
caunmLea 71, UTS, or Actual wei ht
TE
low 'v v
Time Date Inspect-
MA-it-Unloading
1-7O7 04) 103"G S-11 pdd7gwi� d%49P,�0. $3lya
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No.
Municipality (Applicant) P im Con rsc r
i ' q Ii 4 i got S
I oor o 6 " Sub -Contr ctc
Truck No Capacity
31(02 at 3q /. .
Truck Yriver (print legibly)
Time Date Inspector /Monitor
Loadings
Location (Address or Cross Streets)
N . 8�5( W - eo. I -r`70
Debris Classification Estimated %, CYs, or Actual Wei(
—Yt9EtatLLn-
F-I C &D
❑ White Goods
❑ HHW
❑ Other* See Below
Time Date Inspector /Monitor
Unloading 15,4?� 1
i
DMS Name and Location
1-191 rili
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
LoU►e_ tit &;
Load Ticket Ticket No.
Municipality (Applicant) p
�A
141141 S tf$,e c4 &�c l
100so Pe a Air- Sub -(
7(A- 331 ,35 n
Truck No—Thy 0-kj -(ruck Capacity
M_ 1010 2G
Truck Driver (print legibly)
�n e� Carc-e l Information
Time • Date Ins ector /Monitor
Loading
: JsL ,�pp
_ I loll qo' fl.1i: 13 -
or
Ne dub Dr, q3Sk
N I
25.4�OG
caw nd�ea 70, 1.T5, or Actuai vveI nt
Vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other* See Below
Unloading I
DMS Name and Location
j 70 ➢ tj +� ➢O �'G ST'daAa+�, a (stew s38�`!7
Original: Applicant
Copy 1:
Copy Z:
Copy 3:
x�a,J I S Ic Ual
Load Tic et Ticket No.
%
pd ¢ Arc i i Nve" Imo_
1003'0 NE $4" AJy'
6z 1.3f
Truck No e�T V Q JL(L
Truck Driver (printleoibly)
145
Loading Fv- T; ,
Z
Date
/oh/ )
S
Capacity`
� d
Vegetation
❑ C &D4
❑ Goods
/ ►�
Fj HHW
❑ Other See Below
Time
Unloading
Date Inspe or Mon
DMS Name and Location
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
C
Load TiO
Ticket No.
04 146411 jC (foe" V, I (�,- �
100SO ,a �L
69 IM
Truck No fT7� L/G yC
Truck Driver (print le gibly)
,M J1. LLO 2 <,s;a /o rAt
S
�V
��_����� tsilmatetl %, GYS, or Actual U
Vegetation
❑ C &D
❑ White Goods /► ��
❑ HHW
❑ Other* See Below
Time Date Ins ector /Moni
Unloading Q\�
1
DMS Name and Location
1-101 104) 10304 .5-1/ AA,"'� Y(® 83/47
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
1�Art�Sic� i�I�Ar�S
Load E(Applicant) Ticket No.) S
Municipali P im rac r PA i AA4� 100so pie 0 A)- Suer cto
ad'11.q.Ut: S HB¢wr, r'tst u� 3 1 +'g
luck Nom+ r "I/ x JL t I Capacitty
J Ll
Loading I7; 31D
_ocation (Address or Cross StrE
Nab,
F vAH S
u C &D
❑ White Goods }
❑ HHW I(
❑ Other' See B
Unloading Below
Time Date Ins ector /Monitor
DMS Name and Location
1
1'101 04) 103'4 ST—/ AAai., , e(su+ae. 33/6/7
`Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Louie tkk,,ny)oo
Load Ticket Ticket No. 43
Municipality (Applicant) P� n rac r r
Jk4iA�a SHv.2� Vs�� �
10050 ,J� � A),6 Sub -Contr cto
r41i4a1: S cf ®1dc'rS� r=CA. u°31Sa8 M1
Truck No j } ���� K Capacity
M -ti io Z6
Truck Driver (print legibly)
S
Loading
_ocation (Address or Cross Streets) wu
►ve 4.kt6 I �g 91 -90::/e45
N I
Vegetation
❑ C &D
❑ White Goods %ins HHWOther* See Befow
Time Date r /Monitor
Unloading 1
DMS Name and Location
('701 rJW 103'c ST uflc�w'c, 4 r,tadw 83 /x!?
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No.
Municipality (Applicant) P iA Con ra�
I l t fit: C qo �, m 4S.
y 0 6o �'�° r Sub -Contr ctor
7�f&sz t,3,T so
Truck No
Capacity
a)(. -2- [3{- 3°t L3(- 5
Truck Driver (print legibly}
2•, 55ek-L
Time Date Inspector/Monitor
j Loading Pm
Location (Address or Cross Streets)
Debris Classification Estimated %, CYs, or Actual Wei ht
Vegetation
❑ C &D
❑ White Goads
HHW
[] Other* See Below
Time Date Ins ector/ onitar
Unloading f
DMS Name and Location
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Arl 1 S t/ y I(AA "J
Load TicKet Ticket No / 5
Municipality (Applicant) PCo rac r'
04 1 AA41 CNge>E4 t%c0t At
i00,T0 moo^ e5l,b A)i Sub -Contr cto
uckNo e7 7 _&(JCk_ Capacity
ick Driver (print legibly)
L-UT S V/-)S Po
I ime I Date I Inspector/Monitor
Loading
Fa 7o j ICA
�J /S lc F1/ �VAk
Location (Address or Cross Streets)
Nam.
W ` O.1 135_/ 6
�surna[ea %a, uYS, or Actual Wei ht
Vegetation
❑ CYD
❑ White Goods
❑ HHW
❑ Other See Below D
Unloading --- .... -.
DMS Name and Location l
r7o f 041 10$�G Si b%:oActi� F (iPadu. $3!`{B
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket
Ticket No.
4 aAA4d C ffioe &&
G
AAA
�� l
�I
r0 ®3°o hie co
amii4at: 5 H ®¢cvf
a
r
$31 e
Sub- Contracto
A ,
4"
Truck No Capacity
3 ►6(
Truck Driver (print legibly)
EAJ ,
Loading I I . �
_ocation (Address or Cross Streets)
N 962-H
^1w z h j 'Co. 1
W
VAA
Vegetafion
❑sumatetl %, GYS, or Actual 1
❑ C &D
❑ White Goods
r
❑ HHW
vI
❑ Other' See Below
O
Time
Unloading 3l
Date
Inspector /Mon
l
DMS Name and Location
('701 n9v 103'4 sT-
riaAeA,
(10tijy as /47
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3: