|
Ftecyrlerf ?aper (r~
<br /> F.FC—'R1nr .P-;..INC-' NON-HAZARDOUS WASTE DRIVER IDENTIFICATION =RMJ
<br /> }'. ^ Ufa I 1 r f. -K , ,I 6C .. • .. r ..
<br /> Q 2 1.x.9.
<br /> kenCrator. I;EfI_ F _ CH>u AR
<br /> j.
<br /> t�
<br /> Iddress: 1705 N RRnA-0ki —_ IFUY ,
<br /> lione: ( ,209) ` 94�Ap4? 55 _ Contact - -
<br /> ' wa�.ec.�#vI £��,'��aJec..: �..Lr�v y��,- ; - Y r:, ._:.:i"'::: k _ '0.: •' .,
<br /> • �:t+ f.K�,s1"Y s 4'.Jam., ' Y _L-�!.? -.'f ._y r f»4fa Z r- s�-. _ :'i i C•-
<br /> sponte _ MZLTOH TRUCKING
<br /> address. 1335 'pAULI.,.E' AV� 1 aynoEsrn: c 95 t
<br /> 578" '' 4100 'Contact: C�TTMELL�..R.-_.—
<br /> hereby certify that the above named material was picked up at the generator site listed above:.;..,:
<br /> Driver Signature:•
<br /> hipment Date —Ly
<br /> Truck No.: a' _. Load No::'.._1�_
<br /> y--
<br />�ehicle License No /Mate �� CA
<br /> � t
<br /> . ..'•_e` ::,%�'.•.4.a.. - ..r-@..!'_.mss-._-- _ r,- ..-a. • . .. ?.. ._ .- .__. _ .,.... .,.._. ..: .. • ..
<br /> ultari#:Contractor WHF
<br /> Address:- P. O . Bo 6729
<br /> hone: ( 209 j _.79 8138 _ Contact: �iiE_ KI OVER AN – _
<br /> hereby certify that the above named material is consistent with the information pre�entcd in the Waste Characterization Forrn
<br /> 1'r,,dtContaminated Soil Description Form,and has been property cescribed,classified anti packaged,and-is in proper condition
<br /> ransport according to applicable regulations.. = ;
<br />�ame: .Date: _ .
<br /> I Jr } Y
<br /> destination Forward, Inc.
<br /> 9999.South..Austin Road; nteca, California 95336 .
<br /> (209) 982-4298 r -
<br /> ..
<br /> Date '
<br /> ,'..rte .� �•r,' - _ ✓ j `� - .. .
<br /> cceptance No "y 6 t ??_$
<br /> y ��'�i
<br /> 7�
<br /> This load contain
<br /> s s01 .with"
<br /> ..1"-',`.,- - •; ,ja s y , t•w.xi•Y F •- J.
<br /> K Tess than inn ppm ,, greater than 100 ppm .
<br /> _ ''^fY`.�I,"r'7'w'rStir�lt r.
<br /> yC.' iau''cr41SR :. i �y f�t,.. v i - -,c '`_.-;QaPY;;OF'THIS'SHEE�T,MUST ACCOMPANY EVERYWASTELOAD, AND MUST_BE SUBMITTED AT THE GATE FOR,
<br />[A-UST
<br /> 'rPtY.AI'`LE-OADS MUST BE-SCHEDUI'ED ATLEAST 24 HOURS IN AD'VANCE: ' (209)982-'4295 LANDFILL DELIVERIES
<br /> BE'SCHEDUL`ED:ON A DAILY,-BASIS.�ANY`UNSCHEDULED.LOADS MAY SE REFUSED AT THE GATE.;,
<br /> .. �;lycy}=%
<br /> =ke'F•�r' -T ��_,,,.�•'TCY ''.,t" •d!. •: ':?��.F� :ii` haF, r"•�1 C �•s_�:.. '^>'N'F�:':)[`y:fv,;. •.�;t» -.
<br /> 'ards Per this Load: -�;,, ,;3e. 5;�t'�Ft��t_.'�5.. ; . «✓'.�.: - c r +.
<br /> x i i:a,S��..Y
<br /> , ti^�����y �zt � y�a �C�'Y����3 •+ -!r 4- .•• �L ? � .' ' 'rI "' � i a. -\
<br />
|