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Tanggal :............................ Tanggal :............................. Tanggal :............................

Asal sampah :............................ Asal sampah :............................. Asal sampah :............................

Berat :........................... Berat :............................. Berat :............................

Jenis sampah :............................ Jenis sampah :.............................. Jenis sampah :...........................

Tanggal :............................. Tanggal :............................. Tanggal :.............................

Asal sampah :............................. Asal sampah :............................. Asal sampah :.............................

Berat :............................. Berat :............................. Berat :.............................

Jenis sampah :.............................. Jenis sampah :.............................. Jenis sampah :..............................

Tanggal :............................. Tanggal :............................. Tanggal :.............................

Asal sampah :............................. Asal sampah :............................. Asal sampah :.............................

Berat :............................. Berat :............................. Berat :.............................

Jenis sampah :.............................. Jenis sampah :.............................. Jenis sampah :..............................

Tanggal :............................. Tanggal :............................. Tanggal :.............................

Asal sampah :............................. Asal sampah :............................. Asal sampah :.............................

Berat :............................. Berat :............................. Berat :.............................

Jenis sampah :.............................. Jenis sampah :.............................. Jenis sampah :..............................

Tanggal :............................. Tanggal :............................. Tanggal :.............................

Asal sampah :............................. Asal sampah :............................. Asal sampah :.............................

Berat :............................. Berat :............................. Berat :.............................

Jenis sampah :.............................. Jenis sampah :.............................. Jenis sampah :..............................

Tanggal :............................. Tanggal :............................. Tanggal :.............................

Asal sampah :............................. Asal sampah :............................. Asal sampah :.............................

Berat :............................. Berat :............................. Berat :.............................

Jenis sampah :.............................. Jenis sampah :.............................. Jenis sampah :..............................

Tanggal :............................. Tanggal :............................. Tanggal :.............................

Asal sampah :............................. Asal sampah :............................. Asal sampah :.............................

Berat :............................. Berat :............................. Berat :.............................

Jenis sampah :........................ Jenis sampah :........................ Jenis sampah :........................

Tanggal :............................. Tanggal :............................. Tanggal :.............................

Asal sampah :............................. Asal sampah :............................. Asal sampah :.............................

Berat :............................. Berat :............................. Berat :.............................

Jenis sampah :........................ Jenis sampah :........................ Jenis sampah :........................

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