MSV TRUCKS 9.29 LOADSLoad Ticket
Ticket No.
K6 -)� oc-0o
"uck Driver (orint I
e�+ tJwtn
Loading 1
� ufm,
Location (Address or Cross Streets)
N a5.
�, J
C &D
❑
White Goods
X005°0
atti aan:
P6 e9 'a AJE
S sf ®, rta 33 i38
Sub -Contr :t
bit I
4A
K6 -)� oc-0o
"uck Driver (orint I
e�+ tJwtn
Loading 1
� ufm,
Location (Address or Cross Streets)
N a5.
�, J
C &D
❑
White Goods
❑
HHW
❑
Other* See Below
W -W, ic12
L, IM,�
Unloading
DMS Name and Location
n 0 1 nos) to 3'° sr, JOIAm,, NcaradQ a9i47
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No. fnS
Municipality (Applicant) P� rac r'
04 C AM i C tif®QcS Vc 0
t(2e%So NiE e9-4, AJs Sub -Contr cto
tKiAM: 5 00S'iU4, #;:to- 831 iT IN '
Truck No Capacity
f% `x101 C LP
Truck Driver (print legibly)
Time I Date Inspector /Mi
Loading 5 a,) Pry '
rn�1 t2�nhr
Location (Address or Cross Streets)
N
W — �10 •iS-,�1
peons t,iassrzic
ege acnon Estimated %, CYs, or Actual Weight
Vtation
❑ C &D �y
❑ White Goods
i
❑ HHW
❑ Other' See Below
Time Date Ins ector /Monitor
Unloading �7
DMS Name and Location
i'101 00 ro3'c sr, 0iAM'�, � w a9/Ir-7
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket rTicketNo. Municipality (Appl icant) ac r 041Ami C H® VOfg 1006,0 NG � j- pig to
Truck No Capacity
Ms3 0gpl '30
Truck Driver (print legibly)
I�US5ot _))(tv,ty)
Loading
-- �U,,,I
'J'� Pm
_ocation (Address or Cross Streets) u
Nr c1S`'j"' � Nt
39
,K Vegetation
❑ C&D
❑ White Goods
❑ HHW
E I Other' See Below
Time
Unloading I
9
U-�
hs,l
1 ?07 0ci 103 °e- S. �v61o3ke�, a t,r.d� S3fy7
Dher Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No.
Municipality (Applicant) P
putiA#0i C€fae64 V :�I 4
10 ®S® n» e9 ,4 Am Sub-C
Aiiq.rn; 60®¢40, Ala6 13i I A
(�u
legibly)
1 le It NY1
�I
Loading
3.2oWI I ha
Location (Address or Cross Streets)
W
W --WI \W
.K Vegetation
❑ C &D 7yz; [I White GoodsHHW
❑ Other' See Below
Unloading
y �, I
DMS Name and Location
1701 n1fr 103'd sI , AA,"*�,
'Other Debris Fxplanation
JO riginal: Applicant
Copy 1:
Copy 2:
Copy 3:
Load TiCKet Ticket No. S
Municipality (Applicant) P� rac r'
pA i A� i C ilae$4 �� 014 4 Sim
iO4.4D �9 �Jd %J StNli Wct, SM06
7:114 M; SWB2cvi e✓(A, 33'tS$'
�i1G77►F7
0/0
LGLI
Time • •Date
Loading
Location (Address or Cross Streets)
Capacity
l�J
N I
,K Vegetation
❑ CSD
❑ White Goods
Ax ❑
HHW
❑ Other' See Below
Time Dat Inspector/Monitor
Unloading
DMS Name and Location
1`701 010 403 °G sI , wio&"I E (u+da. 83/47
"Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3: _
14p,,f IS k / 16-1111"1-f
Load Ticket ITi cket No. V ) S V
Municipality (Applicant) P� rac r'
duiIAeAi -C ffo�1" V�(I 4 sRW
1006"0 PI; eq �b AJs Sub - Contracto
pii4a4: S 96S401 Pfa. 6Z IM -
Truck No Capacity
/)V1 s / sa 3 d �
Truck Driver (print legibly)
Loadinq Information
Time Date Inspector /Monitor
Loading ,
> . l S 9/ lz4x 11 S lL( �a,1
Location (Address or Cross Streets)
N c; . �)6 77J W 3 o, / 7S(30-5-
�y vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other* See Below
Time Date Inspector/Monitor
Unloading
DMS Name and Location
n01 n'6J 103"l—, ST' 1a�,a, F(Prada, Ssi�/7
*Other Debris F� planation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket Na. ,
Municipality (Applicant) P im Con rac r Si*
fA fl €:a,ai1
p� Sub -Contr cto
Truck No Capacity
&IC L1
�T (.S
Truck river (print legibly)
iGMh�13
Loading ,
Time Date
Ins� octor /Monitor
Loading � xr7 ' Y
Location (Address or Cross Streets)
ion-3,:3 t4 ;Z J A JZ�
r
��r � ME
De ris Classification Estimated %, CYs, or Actual Weight
Vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other* See Below
Time Date inspector /Monitor
Unloading
DMS Name and Location
1'?01 00 lose -5 , A X444
*Other Debris Explanation
Oriciinal: Applicant
Copy 1:
Copy 2:
Copy 3:
I�r
Load Ticket
Ticket No.
Municipality (Applicant)
P rac r'
M i AM i C 06,ecFS Va
iooSo NeE ®,b AJ8
Fist.
Sub -Contr cto
�S
1b1i4.H: S cF ®2w�i ,33 t�8'
Truck
Truck No
Information
Capacity
1161
1.
Truck Driver (print legibly)
d�
Loading
Time
Information ij!��
Date Ins ector /Monitor
Loading
I /A47 N�W
2
f) ah
Location (Address or Cross Streets)
.Nw iz S-�/
2s�?7i =
N \1t, G o
N
'...-:Unloading
1W
Debris Classification
Information
Estimated %, CYs, or Actual Weigh t
Vegetation
❑ CHD
❑ White Goods
��
❑ HHW
❑ Other* See Below
Time
Date Inspector/Monitor
Unloading X1:47
DMS Name and Location
(i01 04.) 103"4' .5
AiAml�, t ( %Palo B3 /y7
l
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
I�r
ES
OPP
t
Load Ticket
Ticket No.
Municipality (Applicant)
m
AP Co rac r'
wiiAAai SHaef4 �a {,A
44
1006,0 p1f ®,3 A)'
Sub -Contr cto
woo
Truck
Truck No
Informa ion
Capacity
i
Truck Driver (print legibly)
�'l Loading Information
Time Date i Inspector/Monitor
Loading 7 (
1'112al ( &
Location (Address or Cross Streets)
ZIO N W 10Slk 5�r
f 11
a2.&
N
'.,-Unloading
W
Information
Debris Classification i Estimated %, CYs, or Actual Weight
Vegetation
❑ C &D�
❑ White Goods
❑ HHW
❑ Other* See Below
Time
Date Ins ector /Monitor
Unloading
6- ;3
�M
DMS Name and Location
1?01 oa 103"' s—,
0oam1, t%lar�d� 83 /y7
,
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
ES
OPP
t
Load Ticket Ticket No.
Municipality (Applicant) P im Cc
i or, o Ad 6 65 "'. js Sub -Con'
17t I-
S
Truck No Capacity ( -
Truck Driver print legibly]
`Time Date fns ector /Ma itor
cl
Lvaing_f a 2�
Location (As Streets) 103Ce PO� S0 G� /
iw
Debris Classification Estimated %, CYs, or Actual Weis
Vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other* See Below (J
Time Date Inspector /Monitor
Unloading
DMS Name and Location
1`70 g Pj (-) 103, �s Pil 441 3 147
r
*Other Debris Explanation
Criginal: Applicant
Copy 1:
Copy 2:
Copy I
Load Ticket Ticket No. — ro
Municipality (Applicant) P-Time Con rac r
IF
MIAMI 1,4� 4f- SHM
itac So jo b -,9 �oa i. Sub -Con% cta
Truck No Capacity
Truck Driver (print legibly)
:...��►j �- IPv�'1,r7n�.QZ
Time Date Inspector/Monitor
Loading
-1 '� , .�c1rn�1 `Zachct�d�
Locatio (Addre or Cross Streets)
h ��
- --- --I - mg w- -,w,
Debris Classification Estimated %, CYs, or Actual Wei,
Vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other" See Befow
Time Date [n pectorl onitor
Unloading
DMS Name and Location
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
hM111, C, rn(A%
Load Ticket
Ticket No.
Municipality (Applicant) !!
c r
�� a,
rA IAM4 C064,4i
1005'0 N6 ® a Ai)£
Sub -Contr ct
�A
90 , a3Y3g
,V: TruckInformatilon
Truck No
Capacity
MY* 05L
a�
Truck Driver (print legibly)
WU' Y ✓1
Loadin
Time
Information
Ins ector /Monitor
Loading �'SSPm,�j
21f1P
rlvr�ll R hog
Location (Address or Cross Streets)
N 0 5 6 03.1
W -W. 1&3)
Unloading
Debris Classification
information
Estimated %, CYs, or Actual Weight
Vegetation
❑ C &D
---7
White ❑ Goods
/)
HHW
❑ HHW
U
❑ Other* See Below
Time
D atp, Ins ector/ onitor
Unloading 130
g ��
DMS Name and Location
nol low X03 °° sr
a 1a�1�, F(or.da 83iy7
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
I Load Ticket I Ticket No. M5
'u", Nuu`Y 04 1 is
AaAMi COse" JAQ1 4f. AM
i00SO N �4a AJs Sub-Cont cto
8'
/biiAM: 5 Ha¢4Si r(st. $31 Af' , so
Fruck No
K\5
(print legibly)
Loading VIII?
_ocation (Address or Cross Streets)
N olS. &vb' 5 I W
vc�ua �aaaamwu�u CSIImaIeO %a, I: YS, or ACtoal Wel ht
Vegetation
�-
❑ C &D /
❑ Whfte Goods G,
❑ HHW J)
❑ Other` See Below
Time Date Ins ector /Monitor
Unloading
�_o s 9 �
DMS Name and Location
not loo ra3 °4 -5 l p9AA,Hi/ F (Ut.cI0. B3 /y7
"Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
I-S P J i s k+ J F(/i�At -f
Load Ticket Ticket No.
Municipality (Applicant) P
PAIAj0i -C Ifdt, 5 V���
iOOS® Pis $ +d AJs Sub-C
M 14.At 600"01 1 =1 83 tag h
Truck No
Loading IV,-,do
Location (Address or Cross Streets)
Capacity`
c7 c
) S v
P
N as, (, 65-
Vegetation
❑ C &D �� 1
❑ White Goods
❑ HHW
❑ Other' See Below
Time Date Ins ector /Monitor
Unloading i . /I
1.701 r00 It73°G Si / p4iAx��� E lPPac4a. 33/`/7
'Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
kH,)J /SlcV E✓f��,S
Load Ticket Ticket No.
Municipality (Applicant) P
pA
14441 C Oszz4 jA - e-
1006,0 Ng 60 d AJs Sub -C
Aii40A: S Hdaa,. r(0- 33138' I h
Truck No Capacity
/'ms s lGay I 26
Truck Driver print legibly)
Loading
11.0JP 91d9�'
Location (Address or Cross Streets)
N aS. b65-39b
W� ().i-?
A Vegetation
❑ C &D
❑ White Goods
❑ HHW
❑ Other* See Below
Time Date Inspector /Monitor
Unloading ,
1-701 1Ja1 103e- ST- r 01Akr,, e%(eP,dr, 39/4(7
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
S
Load Ticket Ticket No A 1 c
100SO F7f ®'d A)i Sub -Copt cto
Mi 4 at: S uBOrv, rla.
uck No Capacity
W -)�: �\vo I ?gyp
m o nukel Louts
"ther*See
ime Date In ector /Monitor
% ���tl
['101 fjo toz', Sri 004,"1, t- {9T.dF 83/&/7
*Other Debris Explanation
Original: Applicant
Copy 1:
Copy 2:
Copy 3:
Load Ticket Ticket No. (Y��
d 1 AoA i i HoP.F4 I ', I IAg4
1005'® P J9 6 AJs
ltii4a4: 6 909401 f=(0- 139 JIM
Truck No
mss W o
Truck Driver (print legibly)
f i i) rY1Gow l ICI
Loading
_ocation (Address or cross Streets)
N� 9wI��
LJ
CAD
❑
White Goods
❑
HHW
❑
Other* See Below
W 1'12
5> a
Unloading , �`
DMS Name and Location I� WA
1"701 04) 103'4 -ST-1 6�11A&iif hl9Pedc. 83/`/7
Original: Applicant
Copy 1:
Copy 2:
Copy 3: