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MSV TRUCKS 9.27 LOADSI fik Load Ticket - Ticket No . Municipality (Applicant) Prime Contractor Sub- Contractor Truck No Truck D river (print legibly) - ar Time Date fnspectorlMon(tor Loa. -Ing Location (Address or Cross Streets) DSbrls"egeta �catfori , Estimated %, CYs, or Actual wei ht Vegetation • CO ❑ White Goods ❑ HHW ❑ Other* See Below U.nf®adulfi Time !bate Inspector/Mnnif- g DMS {Name and Locatior *Other Debris Exolanatin Original: Applicant Copy 9: Copy 2: Copy 3: �— Load Ticket Municipality (Applicant) Ticket No p PA prime Contractor Sub-Contractor . Ko r<S i ruck No Capacity Truck Driver (print legibly)�� % Loadin.g. Time Date Inspector /monRor z,� 17 Location (Address or Grass streets) Debris Classification. , Vegetation Estimated °fo, CYs,, crr Actual Uti/etynt C &D ❑ White Goods ❑ HHW ❑ Other* See Below Unloading !me Date Inspector /Monitor DMS Name and Location] *Other Debris Explanation rN Original. Applicant Copy 9 Copy 2: ��- Copy 3: �— 1 oad Ticket unicipality (gpppcant) Ticket No. Prime CoMrector I6if.4Mf St{oa.,S v,((,G Sub - contractor �'--�S 67 Ka `�9,.., r, 74V rsti lading safe Ins /f1 • �� q Z7 17 j ' ation (Address or Cross Streets) ris Class flcat on Vegetation C &D White Goods HHW Other• See Below Time oading Names Estimated 'a /o CYs orAcf iet U Date lnspector/Moni r Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: oad Ticket unicipality, (Applicant) j4,AI (IA, e- 1 i'l I Ticket No: . 67 H{ W" MA Driver (hint Legibly) 1A, Time Date rading 9 z7 17 ation (Address or Cross Str r/ests) zS:DS�7 tiv— _i�� C &D White Goods HHW Other* See Below oading ,r t oad Ticket Ticket N unicipality (Applicant) Prime Contractor IR A.A4 A Sr{Oa.,4S V,(f,�,e- JJ Sub- Contractor lading , / /S- q 2117 !� ation (Addressor Cross streatsi 0 Is lassiflcation Estimated a/ CYs aor Actual UVei 't Vegetation C &D White Goods HHW Other* See Below - oadioig Time Date Inspector /Monitor Name and Location !r Debris Explanation Origlnal: Applicant Copy 1: Copy 2: Copy 3: 0 oad Ticket Ticket Nei . unicipality (Applicant) - Prime Contractor I/ t4{�AAti SKO s V.( Sub-Contractor 5ck No Capaclty ick Driver (print Legibly) r � Time jading Date Ins ector/Mori for Ia ation (Address or Cross Streets) ris Classificatfori Vegetation Estimated' %, CYs, or Actual Wei fit C &D White Goods HHW Other` See Below oad8rtg Time Date Ins actor /Monitor Name and Location -r Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: oad Ticket Ticket No;' unicipality (Applicant) Prime Contractor jCA!N! :Vs(VaFX V.ffA5,G Sub- Contractor 67 Sck No Capacity ick Driver (print legibly) Time Date Ins ector[Monitor jading �-1 q1,74 17 , 7 a ation (Address or Gross Streets) Ift 4414 J-7711,12.7v %��....._ .... . 'is QlassUlgatiori Estimated' %, CYs, or Actual Wei fit egetation White Goods HHW Other` See Below oading Time Date Inspector /Monitor Name and Location m Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: Load Ticket Ticket No Municipality (Applicant) Frime Contractor C &D �] White Goods Sub - Contractor 67 �fo Truck hie .Capeoity Jam% Unloading Unloading r e. Truck Driver (print legibly) Inspector/Monitor �rruJ� Time" Date Inspector /Monitor Loading" DMS Name and Location Debris Cla8sificatio6 Estlmated °!Q, CYs,, 6 Actual Weight Vegetation C &D �] White Goods ❑. HHW Other* See Below Unloading Unloading Time Date Inspector/Monitor DMS Name and Location *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: Load t idket { Ticket No; Municipality (Applicant) [(� _ j A"M L S R o� V! i NAG v� �! Prime Contractor 1, Sub - Contractor e !. Truck No 99 .Eapacity C &D Truck Driver (print legibly) White Goods Time Date Inspector /Moriitor Loading' 'A / 17 lu b :I De_bds ClassificatfO6 .� : y,. I , Estimated %, CYs,, or Actual W6iglit Vegetation C &D - White Goods ❑ HHW ❑ Other* See Below ,.. Unloading Time Date inspector /Monitor DMS Name and Location *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: Load Ticket Municipality (Applicant) Ticket No _ - — $41AM Z sKa �4r Prime Contractor s Sub - Contractor e ° 14a Iy Y Truck No _ ' Capacity Truck Driver (print legibly) j✓ r Loading' Time Date .* inspector /Mvriftor Location (Address or Cros s � Streets) ` r r1 _/I.. -7 Debris Ciasslticatiori •' Vegetation Estimated % cy ., orAcfual W, igfit C ,D ❑ White Goods El - HHW ❑ Other *'See Below Unloading Time bate Inspector /monitor DMS dame and Location *Other Debris Explanation Original: Applicant Copy 9: Copy 2: - - -�.• Copy 3: --�- -• oad Ticket Ticket No! unlclpality (Applicant) 67 1-{o (cf" vgt0 lading 2: /g q 11 17 ation (Address or Cross -eats) C &D White Goods HHW Other* See Below oading u, Data - Inspector/Monitor i ,r Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: Load Ticket Rot No., . Municipality (Applicant) Prime Contractor r( sub- ContractoF Truck No Capadty ( 1' F f ! G �l� Truck Driver (print legibly) Time' Date I Inspector /Monitor Loading Z.,y q0. 17 Location (Address or Cross Streets) /� /,5'/ -A Unloading llrelor;naflon De. Cl 801cation. Estlmn ted %, CYs, or Actual Weight Vegetation C &D (� White Goods ❑ . HHW O #her *'See Below Time Date Inspector /Monitor UnloadIng DMS Name and Location *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: I L oad Ticket__ Ticket Not unicipality (Applicant) __ Prime Corttmotor Sub- Contractor ( 5 ►-� � _.. _ . - 67 tfo (tl r . id unver (p5J / I .� /.i Time Date rading Ins eetdrVlonitor "Zd R 17 ation (Address or Cross treats) zr7? mil. B6•[� C &D White Goods HHW Other` see Below oadirtg ;F Debris — EXplanatfon Data Ins ector/Monttor Original: Applicant Copy 1: Copy 2: Copy 3: Load Ticket Ticket Na Municipality (Applicant) Prime Contractor �iillJ A.M \ :�' K % aC-X V4 f fA5 ,e_ C - Sub- Contractor 67 Talck No Capacity r c ulis 7 Truck Driver (print legibly) Time Date Inspector/ Monitor Loading' Location (Address or Cross Streets) U%... d ✓..1./GriyCe ,�r/�.. Debris Cla8siffcatiori Estimated %, CYs, drActual Wbight Vegetation C &D White Goods Cf HHW Other* See Below Uri-loading he Date Inspector /Manitor DMS Name and Location *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: i toad TICket 1 Munic(Aal(fy (gpAllcant) 77cket - No - i S'Koss �{ -W,` Prime Contractor -' J Sub- Contractor 11 1 trick No 617 Capactty Truck Driver (Arint 1691151y) Loadieg [me Date Location (Add Z Ins eetbr/Monor ress or Cross S reefs) /r Debrs Ctags, FlCatiori vegetation Estimate d.% White G orAcfi aI We lit y 88W nods © other. Sae Eelrnv Unloading Ti ma Data M48 Name and Location tnspactor /Mantfor 1 Ither Debris Explanatioq Original: Copy 1: Applicant COPY 2: CoPY 3: �� Load -rickt "unfr-fPalifY (Applicant) llckat N,..l 1444 j Prime CO tor Sub -Co ntracto CaPOC17 Truck Driv., (PrIt, jb9ibly) . . . . . . . . . . ............... .... Loading Date LocatiOn (Acicires, or Cross ins ect(5r/ f0nkor' Streets) VAP IV . z . . . . . ... r. MM.. Oob- 3,06 Vegetation C&D tion Esvrna'te White Goods S, ctbal W7 ht 0. Htivv 0 Other* See B.I., Unloading -rime Date DMS carne Ins ectO and or Original: Copy 1. APPlIcant COPY 2: COPY 3: Load Ticket M6 Municipality (Applicant} Ticket No. Prime Contractor a 3 1,44 r�� Sub- Contractor, 67 i4o j oa,,jc Truck No r- 4 I4'v ruc Drr (print legibly) Loading rime I Date Id Location (Address or Cross Streets) :z� O e 10 f Capacity Inspector /Monito �6 A "� Q Z F—S 3i t N A' 2r3 W So I�t 7 Debris Classification Vegetation I Estimate /, Cys, crActual ❑ C &D a _ White Goods ❑ HHW Other* See Below Unloading Time Date Inspector /Mor °P_ DMS Name and Location —4d *Other Debris Explanation Original: Applicant Copy I Copy 2: Copy 3: Load Ticket Ticket No Municipality (Applicant) Prime Contr ar Sub- Contractor 00 Truck No jj rr /�'� Capacity Truck Driver (print legibly) Time. Date lnspector(Monitor Loading'17 Location (Address or Streets) Cross [ • ` Debris Classiflcatiori Estlmated %, CYs., ar Actual Wetgfit Vegetation C &D ❑ White Goods ! I ❑ . HHW V ❑ Other` See Below Time bate Inspector /Monitor q - �)47 ' Unloading f . ; i DMS Name and Location *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: I xf Load Tic et Ticket No Sub - Contractor (97 tfo (S I . FUCK NO Cl -r Truck —Driver (print —legibly) Time Date Inspector /Monitor Loading y. 5cation (Address or Cross Streets) AM, Debris Cla8s fficaVori. Estimabed-,%,'Cys, 6r Actual W6iqht Vegetation C&r) C&E) White Goods, ❑ HH.W ❑ El Other* -See Below Unloa in Time Date Inspector/Monitor oc; t! o,;ati�rj DMS Name and L *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: TrTcket No. PrI Municipality (Applicant) me Contractor A4 VKoaax Vf 4_ o 67 tf /^ /| / � * / � ME Loading Ud El Other* See Below �� —'" —`^"g |, , ' �/ �//Z / Q^2l/] � ' / ` Original: Applicant Copy 1: Copy 2: --- Copy 3: -------- �� \4»etotion�---' U C&D LJ White Goods []MHYV El Other* See Below �� —'" —`^"g |, , ' �/ �//Z / Q^2l/] � ' / ` Original: Applicant Copy 1: Copy 2: --- Copy 3: -------- �� Load Ticket .44; I . FUCK NO 71V -rZ t:t Truck Driver (print legibly) Ticket No.,!'. 67 2G Loading, P-�Wf ., 5- ' 17 Kp,.j Location. (Address or Cross Streets) kk TH N. �, Unloading information. Vegbtation C&D ❑ White Goods D . HH W ❑ Other* See Below Ti Unloading DMS N;;rmn nn,i I n,n+i- LStI mated-%, CYs, 6r Actual V IFARBIMAIWIRVIM Original: Applicant Copy 1: Copy 2: Copy 3: Load Ticket - Ticket Na:' . Municipality (Applicant) Prime Contr/a}ctar Sub- Contractor Truck Na {— Capacity Truck Ddv er (pant legibly) t Loading* Tirne� Date InspectorlMonitar 17 &vA Aeol Location (Address ar Cross Streets) a tD!bris Classi catiarr Est! mated %, CYs, ar Actual Weig t Vegetation C &D [� White Goods r% ❑ , HNW �r�/ 5, 1 �] Other* See Below Time Date Inspector /Monitor :UnI:oa:d.Ing Il � 4'�� •,a�7.17 DMS Name and Location '"Other Debris Explanation Qriginal. Applicant Copy 1: Copy 2: Copy 3: Load Ticket Municipality (Applicant) Ticket NQ; , prime Cot ctor ri LQ� l fL'L1 S�[Ql'Zi'.� �41H9��, ...JJJ fff Sub- Gontracafr p Truck Na ! if � • . Capacity . Truck Driver (p in?1'ee 'b l Lodit�.g Time Date InspectarlNlo 'tar 17 Sri �{� � �! Location (address o, Cross Streets) Dobris Cla8silcatio6 Vegetation Estimated - %, CYs,, 6r Actual Wetglit G &D ❑ White Goods ❑ • HH W ((( ❑ Other* Sep: Below " nloa �4ng Time Date Inspector /Monitor DMS Name and Location i 'Other Debris Explanation Original: Applicant Copy 9: Copy 2: Copy 3: V - Lead Ticket MUnlGipallty (Applicant) fry%Ae11li :V;(o au-_c v. If TM'ck N C.7 7 7- V FX 3 Truck Driver {print 2_�4b1y) Ticket No . TPTime C 67 tfo f 11-15 Loading' �HV El[q 1:7 Location {Acidness or Cross Streets) T 7- AJ N MM eta ion ------ Lstimated "/a, C;Ys, dr Actual Wei 'Fit Vegetation C&D ❑ White Goods F1 HHW ❑ Other* -See Below J— — — Date I ----------- ns ector/ unitor Unloading tor, "nitor DMS Name and Location or Debris Explan@tion Original: Applicant Copy 1: Copy 2: Copy 3: oad Ticket unicipa €ity (Applicant) r Eck No rck Driver lnrr + I =rI;kI,A Ticket NO ie Contractor Contractor 7 9 {� ^-f� apacity iacin. Time bate g Z ation {Address or ross treets) . f —S — 3/ r €s C €assiftcafiori vegetation E~sf €rnafed� %, CYs, yr ActuaE C &D White Goods HHW Other* See Below �� =-311�� Date E Spec for /Mea ^� Name and I nratinn 'r Debr€s Exp€anat €on Original: Applicant Copy 1: Copy 2: Copy 3: �`�` am Load Ticket —M-unicipallity, �(Applicant) A,A , Mt gqo of ruCK NO (! 4 -r—Y ruck Driver 6armt ledN, Ticket No.,; Sub-Contract (97 14D Capacity 11 Time Locauon. tAaciress or cross Stre( N Debris Cla8sffIcatiori IT Estlm6ted.,%,'CTs, drActuial Weight Vegetation C&D White Goods [ - HHW El Other-Seo Below U nloa ding Time Date Inspector/Mon1tor q.,'17 12 ITM—SName and Location *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: Loading' ns e Location (Address or�C�ross Streets) N � �3 U C &D ❑ White Goads ket -. Municipality pplicant) Ticket Nos Prime Contractor K0a, 6 LA4 V.f 0 L Sub- Co^n ttractor� (( 6 ! (-tID nick No Capacity r I Drive (print legibly) rat( Loading' ns e Location (Address or�C�ross Streets) N � �3 U C &D ❑ White Goads ❑ HHW ❑ Other* See Below Unloading Original: Applicant Copy 1: Copy 2: Copy 3: Load Ticket Ticket iC -Ficket No;, Municipality P pplicL Contractor t) Pri MunicipaIT?y (Applicant) Prime Con - tractor 1R,A.44 i;;(oac-.g vjfA, tfD f IFUCKNO 7-,PL C Capejcit� " "Y Truck Driver (Print legibly) L) Loading. Time' Date inspector /Monitor 30 ) -7 17 —Cocation —(Address or Cross streets) T- /V 1. LDebris Cla8sifcatiori. Estimaked Cyj, or Actual WWOht —Vegetation Lj C&D 1:1 White Goods ❑ HHW ❑ Other' Soe Below Time Date Inspector/Monitor U.n4oading 1 Na�meand Lnrnti6�� 7- Original: Applicant Copy 1: Copy 2: Copy 3: �oad Tidket Ticket No . nicipality (Applicant) Prime Contractor Sub-Contractor Truck o `(. Capacity Truck Driver (print legibly) , ...,....... 15 er/l(4 Y.� Z Time Date fnspectOr /Monitor Loading, Location (Address or Crass reets) Z Debris "Classification Estimated, %,'CYs (k Actual Wei 'Fit Vegetation C &D/ Q HH. Goods El N H W W Q [U!riloadin Other* See Below v Uriloafflng Time Inspector /Monitor DMS Name and Location *Other Debris Explanation Original: Applicant Copy 1: ropy 2: Copy 3: Load Ticket Municip.pality (Arp�pPlic:t) No . Prime Contractor r J YfT!4i t .7 �S F? =. Lr41 / 0 Sub- Contractor 67 010 Truck No - Capaclty y,'/ ( /_- ✓✓ Tr c. river (print legibly) Loading' T lnspector /Monitor Location (Address or i Tr Debris Classification Dc Vegetation , Estimated, %o, CYs, or Actual Weight C D [] White Goads�j l ❑ HHW - fj ❑ Other See Below Up- loading Time Date ins ector /Monitor `� l] DMS Name and Location 'Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: !Oad Ttcket unicipality (Applica lRiAMd sgjgt, ris' Ciassirjcatiori Vegetation G &D White Goods HHW Other* -See Pefow M ioad Tick t Ticket No unfcipality (Applicant) Prir"Fe Contractor jQ,AAAl vKoat" v&ffA5 Prim tr SubContre actor f (77 (o 3ck No C-1 Y 7J2 ✓ CK Capacity lck Driver f nr lading --- r/monaor 1 3 3 9 .►7 Flon. -(Address or Cross 7- 7- S11 .Pvf, Ve ge t tion I, MuLual veTg r C&D White Goods H W Other* See Below Time 0a dI ng Date I spector /Monitor Name and Lo--,.-., ,r Original: Applicant :Debr:lls;:Explanat!on, Copy1: Copy Copy 2: Copy Copy 3: Copy a 0. �S.\w A-hA ers�;,-, Load Ticket Ticket No Municipality (Applicant) Prime Contractor j4,AAM1% CKoarz V ffAS f- . Sub- Contractor 67 Tnlck No Capacity Truck Driver (printiegibly) Time • Date Inspector /Ntonitor Loading 5• Co �' 2 �� An-jer Location �(Address ,Aj hl or Cr-- f Streets) Z�r Debris ClaSsifrcatiori Estimated %; CYs, or Actdal Weight Vegetation = _ C &D ❑ White Goods ❑. HHW ❑ Other' See Below -- - . Time Date Inspector /Monitor �� /� Unloading DMS Name and Location "Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: I Load Ticked Ticket rva; . Municipality (Applicant) Prime Contractor Ati A M a,,-.c VFff4 t Sub- ContractoF 67 tfD 1 1 S; Truck No l V %X (/,c Capocity 13/ Truck Driver (print legibly) 11 Time' Loading, bate lnspector /Monl or L �? 17 )4ji Location (Address or Cross Streets) f Cj.r7 t.l4� 1^ i�fI f 5 r } V t. 4 .75 . �. DCbris Cla$slflcatiara Estimated '91fl, CYs, or Actual VV -6ig�t Vegetation G &D ❑ White Goods r° 7 ❑ HHW ❑ Other* See Below Time Date Inspector /Monitor DMS Name and Location *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: eadr Ticket uniclpaI (Appllcant) y - Ck h10 ��f y rck Driver print legibly) �adirtg. - atlon u- ddrPec or Cross Sheets) Ticket No '. Prime Coni /ra�ctor Sub- Contractor 7 --z -� trp�rsu rn, ors, rsrHCtUar Weight Vegeta #ion _ C &D Write Goods H 1w ' O #her *-See Below Time Bate Inspector /Monitor ®d � q ,L/7 r�717 Name and Location r Original: applicant Copy 1: Copy 2: Copy 3:` 11� 611.1 ` A" c. Load Ticket Ticket No.' - Municipality (Applicant) Prime Contractor ,Yr'b6A?Mt iV*'[oa,4� V JOS-z- �� Sub - Contractor 67 40 Y' Truck Me Capacity J i i Truck Driver (print Legibly) Time Date Inspector /Monitor Loading' I ` I � q 121 i Location (Address or Cross Streets) -96(3 - 26, 14W Debris ClassificatiQrr Estlmated %, CYs, or Actual W2iaht Vegetation C &D ❑ White Goods ❑ . HHW ❑ Other* See Below Unloading Time Date Inspector/ Monitor ?11)_ I / Cr DMS Name and Location *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: /9 ic Load T' icket Ticket Noir: Munidpality (Applicant) Prime Contractor TuAck No k —�t — 6�Acfbhl Vegbtation 6 MC& D 0 White Goods [I Other* See Below ' � Unloading Inspector/Monitor ' .'`= - original: Applicant Copy 1: Copy 2: Copy 3: Loading, Time' 0 E:j e Date r � W ! . ` ~ = "- .°= ,~ ' ' . ' k —�t — 6�Acfbhl Vegbtation 6 MC& D 0 White Goods [I Other* See Below ' � Unloading Inspector/Monitor ' .'`= - original: Applicant Copy 1: Copy 2: Copy 3: � Load Ticket P et ppli Ticket No.. Prime Contractor Loading ins rr(orps 'Strap White c3oods Other* See Bielow � S : 9 MS Name and Lornfi�� Original: Appl: Copy 1: icant COPY 2: COPY 3: o Load Ticket Municipality (Applicant) Ticket Ala: " Prime Contractor Sub-Contractor 40 Truck trio v -�Y1V t1 CV►. r Capacity _ Truck Driver (print legibly) Time' Lo��lf�g. j ime Gate ';�� fnspector /Monitor q 0.�x 17 )o, J�� j Location (Address or Cross Streets) 5 tv f d l7elirfs "Cfassiflcatiori Vegetation Estimated® /,`CYs. 6rAc#riaf W'. Fit' C &D ❑ White Goads HHW ❑ Other* See Below Un t ®ading Time Date Inspector /Monitor DMS game and Location *Other Debris Explanation Originaf: Applicant Copy 1: Copy 2: Copy 3: -�—° V .9,#, 1 S i< t , � V,),,,I-f Load Ticket Municipality (Applicant) Ticket Noi Prime Contractor A%A.Mti Sub-Contr@Qtor 1410 .... ....... ... TrOck No F Capacity t -Truck Driver (print leg_jbl7y) Loading, Time "me Date Date lr[Eecf(5r/Mon!for r: /0 q,' Location (Address or Crass Streets) _? 17 v f "8s' I uebris Cla8sificatlorf fcat!'n' VeOt@flon 8 'on Estimated Estimated% ��ys, brAcfb6j VeigIt Weight C&D White Goods rDHHW ❑ Other* See Below :Unloa -in Time Date :11 d lnspect6ir-/Monitor DMS Name and Location *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: Load Ticket i`IGicet IVs3i' _ Municipality (Applicant) Fr Primv Contra tvr Sub- Contractor tfo l p r (v `� ad �� ■ r. Truckl�lo /� I%!`� Capaclty (" //'/ , Truck Driver (print regibly ' vi L! V) 6 � ILLWaIding, —.1. inspector/Monitor Location (Address or Cross Streets) w Dobris Classitioation Estlmated' %, CYs, or Actual Weight Vegetation C &D 0 White Goods -` Other* See Below Ti Time [9.�a loading date Inspector /Mon'tcr � �,��• DMS Name and Location *Other Debris EXPWnatlon '' L Original: Applicant Copy 1: Copy 2: s . Copy 3: � �� M< < • l�: � /Atilt Lead Ticket - Ticket No; , Municipality (Apps €cant) rr Prime Contractor rlQea4M► �KtJStiki I Sub�Contractor 6 tfQ c a� TtOok No l 6 / U 11 3 M-, - - N asainca Loading' �� r�speelOr /MOnitor ddress or C ross Streets) / r Debris Classification' Estimated - %,- CYs, or Actual V'J' ht Vegetation C &D ❑ White Goods ❑ HHW © Other* See Below - Unloading Time Date Inspector /Monitor DMS Name and Location Original: Applicant Copy 1: Copy 2: Copy 3: Load Ticket Tickat No; . Municipality (Applicant) Prime Contractor rQM� CI(Oa,S V,(las. Sub- Contractor 67 40 X161 Driver (print leg! bi Loading o q 7 j7�Slrr d�'Sb Location (Address or Cross Streets) Al Mtck m1' AV 2r�62, ti i Debris Class'fiication Vegetation C&D I ❑ White Goods ❑. HHW ❑ other* See Below Time linioading DMS Name and Location *Other Debris Explanation r Date in --Date �! ',;7'� Original: Applicant Copy 1: Copy 2: Copy 3: Load Ticket Mr-ket »d - Prime Ca Municipality (Applicant) ntr ar tt �� jA,Al A", t9 i sub-Contractor r (� Capectty - Tr�sc k She - [- Dnve'r (print Legibly) Loading' : U/ q Location (Address or Cross Streets) in Vegetation C &D White Goads . HHW j] Other* See Below Time UnIoa ftng : jp nenS Name and Location 17* ire v ) 1+,If lwstim�t d %, CYs, ar Ar -luai f V Date frsspectorlMon O.riginai: Applicant Copy 1: ��- CapY 2: —� Copy 3: �— Load Vocke Municipality (Applicant) p{tA�+� SKo�s /,V ,44S Ticket No L (/ e IC Loading I i • ,-� I ' I Location (Address or Cross Streets) GOflIItictut 67 r(o ca 171 AtjlSis., kvAe, v f Vegetation C &D [] White Goods ❑. HHW / �L F1 Other' See Below Time Date Ins ector /Mon! I Unloading a .� � 9 o2 Original: Applicant Copy 1: Copy 2: Copy 3: Load Ticket Ticket Ne. Municipality (Applicant) Prime Contractor a�a�#�� ems'" 10 0s Aj 6 ,9'04 A)r,- Sub- Contractor fi&I Truck No Capacity -3 l Ua ' 56 �5 Tru k Driver (print legibly) Time Date Inspector/Monitor Loading A �- 'e" ' 9-,P7-17 �JW(b lq Location (Address or Cross Streets) P. e.. N -7 W - moo_cZ35 .. Debris ClassU timated %, CYs, or Actual Weight Vegeta Q C &D [� White Q HHW Q Other* Inspector/Monitor Unloadin DrMS Name and Location t -701 YJ4) 103'- .5—,/ a,� 8 !"a0A*I4r " fBoo 9%47 *Other Debris Explanation Original; Applicant Copy 1: Copy 2: Copy 3: 41 Load Wicket Ticket No. Municipality (Applicant) 7;,�l r00�'o eo6 TSTub-Contractor �p ka I J Truck No Capacity �- ,� n r' ruc Driver (print legibly) Z, ftg�) , ': . -,;: Loadinq Information Time Date inspector /Monitor Leading ��- Location (Address or Cross Streets) N. g,,,, /,- I W. i�t4a Debris Classification Estimated %, CYs, or Actual Wei: Vegetation 0 C &D ❑ White Goods ❑ HHW ❑ Other* See Below Time Date Inspector /Monitor Unloading �-,0& °l'7 -,� L4-- DMS Name and Location *Other Debris Explanation Original: Applicant Copy 1: Copy 2: Copy 3: Load Ticket Ticket No. Municipality (Applicant) Prime Contractor I So jv 6 .) Sub-Contractor Wit° & td S� �= 7 k4P j ,a Truck No i�`] Capacity Truck Driver (print le ly) v 5 Loading Informabon Time Date inspector /Monitor Loading 6 fi f q Location (Address or Cross`[ Streets) RU- Kc �3 / (1�5 % ►� w Debris Classification Estimated °!o, CYs, or Actual Wei Vegetation ❑ C &D ❑ White Goods ❑ HNW ❑ Other* See Below Time Date Inspector /Monitor Unloading DBMAS Name and Location 9 �if 9[ a� �°v�Idr96� ( ��A`a7 .3 /6yf *Other Debris Explanation Original: Applicant Copy 1; Copy 2: Copy 3: