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' Recycled Paper ` <br />' FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM �l <br /> p 2111 <br /> Generator: _— GEJ) S r <br /> Add re;:s:__11-0-5 _ 32,)AnWkY ---- <br /> hi ane: ( 209) 948 - 55010 Contact: —p R E c!EY -SZ LR- <br /> Transporter: _ PTrH Hhmil IGN TRUCKING -- <br /> Address: 1336 _2AI11 INLE -AVE mnnPgT0_.,_ra t,..52.yi <br /> Phone: (209 ) 578 - 41nn _-_Contact: __—S_Cl1T_1_.1M.ELWB <br />�i Hereby certify that the above named material was picked up at the generator site listed above, <br />,D,ive, .Signature:____ LL-� z ``t. mt om --- _ __ ___._._--•---_. — <br /> �> <br /> Shiprr,ent Date:— <br /> ruck No.: — — Load No.: _,J)2 <br />(Vehicle License No./State:. <br /> Mul'tant/Contractor: ti'Hi= - SFMCR <br /> Address:_ P . O . P,[)X, 57. 9 _ M(117 <br />(Phone: ( ?09) -�Z . - . 1-R Contact: MIKE KUIVEi3nALiz --- -- <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> and Contaminated Soil Description Form,and has been properly described,rlassified and packaged,and is in proper condition <br /> for transport according to applicable regulations. <br /> Blame: 27Date: <br /> Destination: Forward, Inc. <br /> 9999 South Austin Road,Manteca, California 95336 <br /> (209) 582-4298 ' <br /> 4 n <br /> Received by: <br /> ... Date: <br />�cceptance No.: 92 - 225 <br /> Phis load contains soil with: <br /> less than 100 ppm --_ greater than 100 ppin <br /> WPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD,,AND MUST BE SUBMITTED AT THE GATE FOR <br />(ENTRY.ALL LOADS,MUST BE SCHEDULED AT-LEAST 24 HOURS IN ADVANCE: (209)982-4298 LANDFILL DELIVERIES <br /> MUST BE SCHEDULED ON A DAILY BASIS, ANY UNSCHEDULED LOADS MAY BE RE-USED AT THE GATE. <br />�ards Per this Load: <br /> TaAr,sPORTER COPY <br />