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Recycled Paper <br />!! ORWARD, INC, NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> (32126 <br /> Generator: GEO F l IL AB <br />�ddress: 17115 N BRODIAIAv - <br /> Phone: ( 209 ) 94R - 5500 - Contact: R-PESLEY S(uW"LAP - <br /> Transporter: _ RICH HAMTl TON TUCKING <br /> Iddress: 1 U 6 PA01-TNIE „AV/F_„_ MODESTO , CA @5251 <br /> Phone: ( 209) _-5Z8- glan Contact: -.____S.Ir:i' TJ ,:NF1 I ng <br />' hereby certify that the above namedaterial was pi c up at the g nerator site listed above. <br />�river Signature: __ / <br /> hipmeht Date: l- - _q <br /> 1'ruck No-: M......�_ 9 Load No.: 1 ? <br /> ehicle License No./State: ���- - -- �� r CA <br /> .sultant/Con'tractor: —._ WHE SEIACD <br /> address: P . O . B0X_ iZ.2,�3 __. mnnESTO , CA 95255 _ <br /> Phone: ( 209} - 57G- 8188 __ Contact: _ I,"TKE KLOVERDAN7 <br /> hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> nd Contaminate-dSoil Description Form,and has been properly described,classified and packaged,and is in proper condition <br /> or transport according to applicable regulations. <br /> fame: Date: <br /> festination: Forward, Inc. <br /> 9999 South Austin RpaQantec California 95336 <br /> (209} 982-4298 �/ r <br /> Received by: - - r, <br /> Date-.:'. <br /> acceptance NO.:'- 92 .225 <br /> This load contains soil with: <br /> less than 100 ppm greater than 100 ppm <br /> LDPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> TRY.ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE:. (209)982-4298 LANDFILL DELIVERIES <br /> MUST BE SCHEDULED ON A DAILY BASIS. ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE. <br /> .. s�a�ds Per this Load: <br /> -- <br />