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t7t 'T <br /> 'F •,. .-• •$-h s s+"'�i.Y qr - c- :" <br /> _r'Ca • yr <br /> ti1J':�+ _ <br /> FORV1lA'FI� `aV IVU:N-HAZARDO�IS WASTE DRIVERIDENTIFICATION F(3R�1!' <br /> 02109 <br /> he/—//j'���I 4_.J .. <br /> '` � �-•�'`. err��7"<j5 �' - !'- , - - - ,. V'4.�� +.J <br /> Generator: GEhT. E- SCHLIL_AR _ - <br /> ddress: , N QS �' RRnADWAY <br /> hone: (. ),. qq Contact: <br /> >.- <br /> '„..�. <br /> z-, <br /> •., k��a '�t6`Y:sr��,Ry�x - .: - � _: f. -r•� w s ,�-- � 4V.., � i. :r — <br /> Transporte-r RICH�'NAMILTON TRI(['.)( F� <br /> ## _ <br />�dclress 1335 PAEfLINE AVE _ _ �� _•. MClf�F�T�`jr !'A g535t _ <br /> Phone:.( 209) 7 Contact.'.- S�O;T I�IFLLnR _ <br /> hereby certify that the above named material was picked up;at the generator site listed above'.' . <br /> -,L- <br /> Driver Signature' ' <br /> hipment Date: <br /> Truck No.: -9 b Load No.: —Ql <br /> : CA <br />�ehicle License Na./State:_�11��.:��d. _ ! <br /> T. <br /> 4 <br /> yA. ultant/Contractor �1^IHF - SEF�Cs'�— <br /> Address: T�� Q'.' QQX' ��6729 _ MODESTO <br /> Phone: .( 209)-_—�79 IJ Ft Contact: MTKF X1i)VER' .AN7_. <br /> I hereby certify that the above named rn+rlal is consistent with t'rie information presented in the Waste Characterization Form <br /> tor <br /> nd Contaminated Soil Description Form',-and has been properly described,classified and packaged.and is in proper condition <br /> transport according to applicable regulations. <br /> rName: Date: /O-� 27= <br /> 9--� <br /> Destination: Foriniard4 Ince{r� � y;' r - <br /> 9999 Sou'h Li. in Road anteca, California 95336 <br /> (209)y982 <br /> Received by <br /> v W <br /> � r y .y. <br />(Acceptance No _y <br /> 4 s aj � of�`�'�, <br /> This load contains soil with 3r- t <br /> - fit+'� 'f� - � �"•�.,,g, �r�,.$•e - '-"r y , t`i - 'f �� <br /> less than DD ppm greater tAan 100 ppm <br /> ..:•-:_ r� � ��,e���.7"�� ��:r,; t r 4 r w a i,, y w� r�X- ... �f�` <br /> PY O!" THIS SPEET.--MUST ACCOMPANY.EVERY.WASTE LOAD, AND.f.ALJST BE SUBMITTED AT THE GAlt, <br />� TRY.ALL:LOADS MUST,BE SCHEDULED AT LEAST 24 HOURS IN.AI�VANCE: ,:.(2 0'9' )982-4298 LANDFILL DELI RIES <br /> MUST BE SCHtDULED'ON A''DAILY BASIS. ANY UNSCHEDULED LOADS MAY BE:REFIJSED AT THE GATE..': <br /> ,yT�=` --��'�t� ]e"-Z�K't�;R°Ps - <br /> 7. <br /> syy +v� ` rri'.r h's k..- 2�c"r-_ y k� '�- '4 --ti. ry s• s. <br /> Yards Per this LoadCS <br /> _. GENERA 0R COPY <br />