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3 <br /> Recycled paper <br /> FORWARD, INC. NON-HAZARDOUS WASTE.DRIVER IDENTIFICATION F0:7)R <br /> AskI0-2122 <br /> Generator: G E 0 . F A <br />�ddress: 7 N , 3RQADO !AY _- <br /> hone: ( 209 ) :i48 - 55010 ^ W Contact: PRESLEY Sr.}LULAR <br /> Transporter: RICH HAMILTONN TRUCKING <br />�ddress: � 1336 PAULINE AVE . MODESTO . CA _,g535;> <br /> Phone: ( 209) —__5i8 - 4100 Contact: SCOTT NIEL-L OR_ _ <br /> hereby certify that the above named material was picked up at the generator site listed above. <br /> t <br /> Driver Signature: _- <br />�hipment Date:---.- . <br /> Truck No.: �,� —_- Load No.: 06 <br />�ehicle License No./State: �-�- r �A___ <br /> IOU Itan-t/Co'ntractor.- WHF - SEMCO �- <br /> Address: P . 0 . BOX 6729 -- i10PE.�. rs� , CA 95355 <br /> hone: ( 209) 579 _ $,i3$. _ Contact: MIKE KLOVERDAN7 —_ - <br />(n,d <br /> ereby certify that,the above named material is consistent with the information presented in the Vlaste Characterization Form <br /> Contaminated Soil Description Form,and has been properly described,clac.Gified and packaged,and is in proper condition <br /> transport according to ap le regulations. <br />�ame:X" �� - . Date: ...' <br /> destination: Forward, Inc. <br /> 9999 South Austin Road, Mant a, California 95336 <br /> (209) 982-4298 — <br /> 1 Received by: — ' <br /> Date:: /C�W - 9 _- -- - <br /> a <br /> acceptance No.: _ 92 225 <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 /> UST BE SCHEDULED ON A DAILY BASIS. ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE. <br /> lards.Per this Load: /5- <br /> TRANSPORTER COI>Y <br />