|
7, 7777
<br /> Recycled Paper t
<br /> .. a f r. `.i t � e _ m iE-s �-- x• s �.,:r . kFi..�J - L;. < ...
<br /> FORWARD, 1NC NON-HAZARDOUS WASTE DRIVER -IDENTIFICATION FORM
<br /> ,F
<br /> 1
<br /> t _
<br /> J vx 7� ,y
<br /> E }-f .
<br /> Generator:
<br />'Address:
<br /> Phone:. 209 44R � [} I
<br /> ( ) _ Contact. P R E S L F Srf•�li l AR
<br /> i �,F �Yi'�•� 'y. r>��LL�¢•+S'�Y:C- �"'7�1� r- at, .. - � � f r 4 Ar SC.%. - t•r _ S *v-r
<br /> Transporter. RTP WART] TnN TRUCKING . _... `
<br /> Address:'
<br /> 193 1;.>PAM TNF AV!"._ _� -*MnIJESTt�=�A.:4,�.
<br /> Phone: ( 209).,: 4 J fl[] -` Contact:
<br />'I hereby certify that, the"above named rhaterial was-picked up-at the generator site listed above..._ Y '
<br /> Driver Signature:'
<br /> Shipment Dater
<br /> Truck No.: _°Load No.: 18 __..._
<br /> Vehicle License No_/State":
<br /> ultant/Co"ntractor:• WH __.� SES
<br /> ca
<br /> lAddress: P .11:�lZX67_29
<br /> Phone: ( 209) 5.7� -. El138 Contact: MIKE KL _
<br /> l1 hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form
<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:
<br /> Destination Forward Inc ' '
<br /> 9999 Soutti.Austin Road nteca, California 95336r ,
<br /> (209J
<br /> Received by'
<br /> y J
<br /> Acceptanate
<br /> ce No =a 92 ��?� ?;
<br /> ,,.{�-.,rpt �<
<br /> J �
<br /> cy . N!s" .x.r-
<br /> This load Contains soil With
<br /> t-,xfyk �,^{,�S`'�,- C-r �T
<br /> v
<br /> �yy � 7ess�than 100 ppm � FY } 1r greater than 100
<br /> ->:'L
<br /> PY_OFJHIS SHEET MUST-ACCOMPANY EVERY VASTE:LOAD,"AND.MUST.BE SUEiM,1TTED AT.THE GATE.FOR,
<br /> i!�RY.'ALL-LOA&§.MUST BESCHEDUkEDATLEAST24HOURSINADVANCE ; (209)982-4298 -LANDFILLDELIVERIES -
<br /> MUST BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY.BE REFUSEDIAT.T,HE GATE.`.',.--,_;_-,.
<br /> _ •rti,.firF•,�" ,-��,,,;�, , `414"°F .1'h t-.r. '�'t, �' - ai'F ::.:;,'` ....'•+""e:X v',4 ✓5 :s;x•.{sv^"�„tt+ -.' .'k p::-,.r- 4 2.-`C'.�, ' '"`'
<br /> ' .`'' tr d 'taK a ^`�.. 7' ,.4. - r '- r 'l rr'+, "�} �f ,S�'' i � r (z r y� `�'f .-'. y y: r _'•
<br /> ,fi t'�i.,•7Y _$T�' -y } ; r u =?fin1 = J+t SSP 4 -° j." r v. • i. y ti`.r ..
<br />(Yards Per this Load f
<br /> f 9 � t f :>t, yt ° r�s Jy 'iRrF -Y t t t' •cr r ' r ,': i- q "F4` - rz �-y C', TL Y R,_ u ,"
<br /> ac „ '-^ �D i -Y.a=t q't 'r - v+ ..r' *✓+�• . t ; .'e' -
<br /> +? r L t
<br /> �. .., ..;>`... -i _%V � ,--•----• " :Y Y a - r - - i i
<br />
|