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Cities of Dublin and Pleasanton | Disaster Debris Management Plan | 2022 <br />79 <br /> <br />CITY OF ____________ LOAD TICKET No. 000001 <br /> <br />Section 1 <br />Prime Contractor: _____________________ Date:_______________ <br />Subcontractor (Hauler):______________ Departure Time:______ <br /> <br />Driver: ____________________ Truck:______________ <br />Plate No.:__________________ <br />Measured Bed Capacity (cu. yds.):____________ <br /> <br />Debris Pickup Site Location: (must be a street address) <br /> <br /> <br />Debris Type: □ Vegetation □ Construction & Demolition <br />□ Mixed □ Other: <br /> <br />Loading Site Monitor: Print Name:__________________ <br /> <br />Signature: <br />Remarks: <br /> <br />Section 2 <br />Debris Disposal Site Location: <br /> <br />Estimate Debris Quantity: cu. yds._____________ Arrival Time:_________ <br /> <br />Disposal Site Monitor: Print Name:___________________ <br /> <br />Signature: <br /> <br />Remarks: <br /> <br /> <br />Copies: White – Load Site Monitor Green – Disposal Site Monitor <br />Canary, Pink, Gold – Onsite Contractor’s Representative or Driver <br /> <br /> <br />