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Recycled 'Paper <br />' - FRWRD INC. NON-HAZARDOUS.WASTED I � �� <br /> OA <br /> rn DRIVER IDENTIFICA � ION FORS <br /> I 021291 <br /> Generator: <br />�ddress: 17CI5t1 _ RRn,r-1I)WAY <br /> Phone: ( 209 ) 943 _ 5500 �_E-a <br /> . Contact: LEY-5 CN,11LF.:R---- <br /> r <br /> r <br /> Transporter: ---_—RILH HAMILTON TRUCKING <br /> Uadress: 1336 PAULINE AVE___..._.._..__._. MODESQ, <br /> {'A 95351 -- <br /> Phone: ( 209 ) __ 578 _ 4100 Contact: SCOTT LIELLOR <br /> hereby certify that the above named material was picked up at the generator site listed above. <br /> river Signature:_ '-� _. i ..A +' —•.. <br /> J- -- s- <br /> �hipment Date: / . .. <br /> Truck No.: o _ Load No.: __LQ_ <br /> ------ ---� <br /> ehicle License No./State:_ '� _ �� [` CA _ -•---- �._.. <br /> so tan#/ ontractor: . l�,�F - <br /> SEmco <br /> lkddress: -P . D . BOX 6729 .._ Nn0 q <br /> 'hone: ( 209 ) _..__ 5 7 �q - "138 --Contact: MIKE ! 011r RD-ANJ_ <br />' hereby certify that the abovenamed material is consistent with the information presented in the Waste Characterization Forrrl <br /> nd Contaminated Soil Description Form.and j-ias been properly described,classified and packaged,and is in proper condition <br /> ar transport according to applicable regulations. <br />�ame: Date: <br /> lestination: Forward, Inc. <br /> 9999 South Austin Road, anteca, California 95336 <br /> I (209) 982-4298 <br /> Received by: + � 't rr, ...._ <br /> Date:_- ' <br />�.cceptance No.: _ 9 2___ - - 2 2 S - <br /> his load contains soil with: <br /> less than 100 ppm greater than 100 ppm <br />�DPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE S LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> . FRY.ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE: (209)982-4298 LANDFILL DELIVERIES <br /> VIUST BE SCHEDULED ON A DAILY BASIS, ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE. <br /> fands Per this Load: ___ _ <br />