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® Recycled Paper <br /> ISORWARD, INC. NON HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 1 02116 <br /> ,enerator: G E'O . F :5 A <br /> ddress:_.-_., i70,5 1J . BROAD-WAY - -�hone: 209( 209 ) -- _ 948 - 5500 _... Contact: j E <br /> transporter: RICH HAMILTON TRU+CKING <br /> ddress: 1336 PAULINNE AVE . _ _ _ mousTn ._ A_.._9535'1 <br /> hone: ( -'0 9 ) 5 i3 - 4 00 Contact: SCOTT11ELLOR <br /> hereby certify that the above named materug was picked up at the generator site listed above. <br /> river Signature: <br /> Shipment Date: <br /> 1uckNo.: `��� Load No,: 05 <br /> e'hicle License No./State: ) 5 U . /CA <br /> Ltant/Contractor: WHF,-, —SEMCO <br /> lddress:-- I ----- _Y._. DESTO , CA 95355 ---- ---- _ <br />?hone: ( 2 0 Lo ) ^ 5:9 - 8138 Contact: r4TKE KL0VEBQAf4Z <br /> tereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> 1d Contaminated Soil Description Form,and has been properly described,classified and packaged,and is in proper condition <br /> or transport accor ng to applicable regulations. <br /> lame* `J <br /> Date: <br />)estination: f=orward, Inc. <br /> 9999 South Austin Roa rrteca, California 95336 <br /> (209) 982-4298 <br /> Received by: <br /> Date:—Z 0 -'2? <br /> acceptance No.: 92 - 225 <br />�is load contains soil with: <br /> less than 100 ppm greater than 100 ppm <br /> IPY OF T�­IIS 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 />"UST BE SCHEDULED ON A DAILY BASIS. ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE. { <br /> f <br />(rds Per this Load; /S <br />