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.1 <br /> Recyct,d Paper <br /> FORWARD, INC. NON--HAZARDOUS WASTE DRIVER IDENTIFICATION FORM � <br /> 0212 1. <br />' <br /> Generator_: G E 0 . F . SCHULAR -. <br /> ddress: 1705 N . BROADWAY _--� <br /> hone: ( 209 ) 9/48 - 5500 Contact: ,.,_.-_-.PHE-6 .E Y_ S C H U L A R __-- <br /> Transporter: RICH HAMILTON TRUCKING <br /> Iddress: 1336 PAULINE AVE . V10QEST0 . CA 95351 <br /> Phone: ( 209 ) 578- 4100 .Contact: SCOTT MELLOR - <br /> hereby certify that the above named material was picked up at the generator site listed above. <br /> Driver Signature: CN+ 1�r1 <br />�hipment Date:—.._..- U `_ $ c` <br /> Truck No.: _ g c-s C.) Load No.: 09 <br /> ehicle License No./State:. __l1. � �_ 1 CL_4A <br /> IuItantlContractor: <br /> Address:--.---- P . O . BOX _6729 ;.n^FST <br />[hone: ( 20-D 579--' 81.38 Contact: t4TKFvi ni/FRnAtg7 _ <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br />[r)rdtContaminated Soil Description Form,and has been properly described,classified and packaged, and is in proper condition <br /> ransport accor 'ng to ap I' ble regulations. <br />�am Date: <br /> destination: Forward, Inc. <br /> 9999 South Austin Road tec�a, California 95336 <br /> (209) 982-4298 <br /> Received b <br /> y: . <br /> Date: <br /> acceptance No.: _ 92- 225 <br /> Phis load contains soil with: <br /> less than 100 ppm. greater than 100 ppm <br /> PY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> NTRY.ALL LOADS MUST-BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE: (209}982-4298 LANDFILL DELIVERIES <br /> vtUST BE SCHEDULED ON A DAILY BASIS. ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE. <br /> ards Per this Load: <br /> TRANSPORTER Copy <br />