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;l Recycled Paper <br /> t FORWARD INC. NON-HAZARDOU <br /> S WASTE DRIVER IDENTIFICATION FORM <br /> 0219 <br /> Generator: GEO . F . S"HULAR <br />'Address: 1705 N . BROA0'IAAY � --- -� <br /> Phone: ( 209 ) 948 - 5500 _ Contact: PRE SLEY_ SCHULAR <br />,Transporter: RICH HAMILTON_ TRUCKING <br /> Address: 1336: PAULINE AVE , MODESTO , CAMODEST 95351 <br /> Phone: ( 2r59 ) 578- 4100 — Contact: --SCf]TT MBLLOR <br /> III hereby certify that the above named mat I was pi ed up at the generator site fisted above. <br /> Driver Signature: G /l rS <br />!Shipment Date: /Lo <br /> Truck No.: Load No..- 08 _ <br /> Vehicle License No./ptate: L.f �� : /CA <br /> lo,su-!t'a"nt/Contractor-----;1iF - EM'f;O <br />,Address: P - Q .. r' _ MOr�FSTO -CA gF3r,`fes--- <br /> Phone: ( 209 _ 579 - 8138 _ Contact: M T Y E Ki n\t p _ T -- <br /> lI hereby certify that the above named material is consistent with the information presented in the Waste Characterization Fornn <br /> and Contaminated Soil Description Form,and has been properly described,classified and packaged,and is in proper condition <br /> for transport according to applicable regulations. <br />(Name: Date: "Zo <br />(Destination: Forward, Inc. <br /> 9999 South Austin Rq,Mtarr eca, California 95336 <br /> (209) 982-4298 <br /> Received by. <br /> Date: <br /> acceptance No.: 92 - 225 y <br /> This load contains soil with: <br /> less than 100 ppm greater than 100 ppm <br />•OPY 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 /> MUST BE SCHEDULED ON JA DAILY BASIS. ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE. <br />�ards Per this Load: J <br /> - .. TRGFJCP!'fRTF"q r'�C1iyV <br />