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Recycled Raper <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 02124 <br /> Generator: GEO . F . SCHULAR . <br /> ddress: 17035 N . BROADI4AY <br /> hone: ( 200) 94Ig - S 5 0 0 _ Contact: Pr�.�cLF'y lrl AQ <br /> transporter: — RICH HAMTLTON TRUCKING <br />�ddress:. 1336 PAULINE AVE . _ MOD ESTO , CA 95251 <br /> Phone: ( 209) 578 - _ 4100 Contact: SCOTT MELLOR — <br /> Thereby certify that the above nam d material was pd up at t generator site listed above. <br /> Driver Signature: r 4 <br />�hipmenI Date: <br /> Truck No.: _ �-��2 Load No.: <br />�ehicle License No./State: C A — —_ <br /> aItant/Contractor: . WH F - S EM C <br /> Address:-_ P.O . BOX 6725 MODESTO CA _25355 <br /> hone: ( 209 ) _, 57 _ 8198 �M . .- <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br />[nd Contaminated Soil Description Form,and has been properly described,classified and packaged,and is in propercondition <br /> ,)r transport according to applicable regulations. <br /> Jame: - Date: -- ----- — <br /> destination: Forward, Inc. <br /> 9999 South Austin Road anteca, California 95336 <br /> (209) 982-4298 <br /> I ' <br /> Received by: <br /> Date:' <br /> acceptance No.: 9Z".- 225 <br /> This load contains soil with: <br /> -�_ less than 100 ppm greater than 100 ppm <br />.*PY OF THIS SHEIfT. MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> NTRY.ALL LOADS MUST BE SCHEDULED AT LEA T24 HOURS IN ADVANCE: (209)982-4298 LANDFILL DELIVERIES <br /> ST BF,SCHEDULED ON A DAILY BASIS. ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE. <br />�ards Per this Load: ._. <br /> TRANSPORTER COPY <br />