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1^:°11r z Ee eC 11t xflr�"mss i 4 _ _ _ <br /> Wv <br /> µ r Recyc;ed PAp�r <br /> FORWARD;:=INC:, _.'NO'N—HAZARDOUS WASTE�DRIVER IDENTIFICATION FOR1V� <br /> � . <br /> - ,•.1,, as .:. r.. :- , `�;`' � - _ - <br /> Generator: �. 'GEb::-;= F`- SCH!lLAR " <br /> ddress: 1705. N_ BRQADWAY <br /> Phone- . ��r,� adQ r - NOV 209) -- 4 Contact . PRE E C LAR V <br /> AA <br /> Transporter"'O <br /> NAM <br /> ddress MQDE5T0 QA 95351• -- <br /> Phone: (_ 209y �h ` 57$� 410{) ° :: Contact: SCOTT MELLOR <br />'hereby certify that the above named material was picked up at the generator site•Iisted-above. <br /> river Signature..1hipment Dale: ` <br /> Truck No.: 9 6 O ' _ Load.No.: -._12 <br /> .� <br />�ehicle License No/State - ��rgT - <br /> aultant/Contractor_ `` wHa SFMf'Cf_ <br /> ddress: T0, fiA ' x,635_ <br /> hone: { 209); :. 8138 Contact: — MTKF K•I OVFB1)ANZ <br /> ereby certifythat the2bove.named material is consistent with the information presented in the Waste Characterization Form <br /> tContaminated Soil Description Form,and has been properly described,Classified and packaged;and is in groper rendition <br /> rcltransport adcording to applicable regulations <br /> ati f <br />�ame: Date: <br /> estination: .Foeward, Inc - <br /> 99994South Austin.Road, Manteca California 95336 _4 <br /> r. ..,_cam - <br /> I Received by a _ _ <br /> + � �t.1 <br /> ♦ a'1 <br /> cceptance�Nq , 92r ` 225h. y-'� <br /> r . r <br /> } r <br /> is load contams. _ ' <br /> '.less#hen 100 rTl <br /> PP ,14 greater than 100 ppm <br /> ►' RC1 ,k. 4>K ¢ _ ,. _ <br /> k�DPY OF.THISSI �EET"MUSTACCOMPANY EVERY WASTE LOAD, AND MUST BE.SUBMITTED AT THE GATE FOR <br /> TRY.AL"LLOADS h1USTBE SCHEDULE_DATLEAST24 HOURS IN ADVANCE. , (269)982-4298. LANDFILL DELIVERIES_ <br /> ,. <br /> 1UST BE SCHEDU I=D,ON A.DAILY:BASIS �4NY UN CHEDULED LOADS MAY BE-RE>=USED AT THE GATE` <br /> • _ ;,�'"r� ".'�XJ.,,..ii"�' �:� ';.�,�:' �A.�,v3ia.. �y�i.�...-a"*,..�;,' r- -1 •=«i StF 'w � '- .�-i�• .,ry <br /> . '•?. '�Y'�,�s Y. w'-'r_A����•«� 1 �'� +�"�.�^;'-4�,4 .'rrK E t ;.{.z..1: T:, f Y-•� -3- -.f -]....,'I1r�-t <br /> I <br /> rds Pertki�is Load , ,:i- r.y� ;�s.,F ys •�yy-��gy - <br /> '1:. 513_�.. ri:•"f�?nr - T-••r- 2 ..p, s+,i`k:,;:.. "M' - :'r": r.r '.,> 4 ;, - _ 'w+!"+ -,r ':' -� '?•; I <br /> ��`' s "' s �' n�, `aa -#s� �'a ♦ r�R. - y 3, t f <br /> _ <br />