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<br /> - J 5,77
<br /> 'r„•', •' ��v �,.yr ��,<. ,- I;e cycl L
<br /> C]RW RD NC ` _ NON-
<br /> HA:ZARDOUS WASTE DRIVER'-.IDENTIFIGATION FORM
<br /> -
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<br /> � � sTQ213 '
<br /> Generator.- j ""G•EO '
<br /> L.
<br />�ddress - x41705 �! BRQADWAy
<br /> Phone ( 209 �3x' �50D Contacts PA _SI FY S["�111 AR
<br /> fir;l'ry'"z'"•tr+`3';'•te S' '�'1"k`.L c ,gyp.;.r's-:1 3.5 t, Sxs".� i- - } 15 r. , �. \'.::r
<br /> }'.v. :�� �.ayt,a:yya}}S_,.. � :-„yyrr.- -� _. �i. _ t:, - _ -.� .._�i is .• - �--'W .- _ .. �.
<br /> ' t `YIJ! 4 �Fs' s �41',i+,`hn{�^["ss�:sa�'Y,•.- s,1'_" U ..r!j:.' rJ �% rc -,
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<br /> ii.:! i -•a(' :i-ii.'}=P M1�Ya1,1- - N
<br /> Transporter ' ' `"'..�xRICH HAMILTON TRUQKING`
<br /> ✓N� r f ,t
<br />�4ddress
<br /> 13316 PAULINE'~AVE. ��.: hiQDESTn- CAS 95'15l
<br /> Phone:
<br /> �_� ,`may-: w c • -- .. .,..,..
<br /> _(': 209) 57$' - 41QQ Contact.«'- SCf)TT MEL'LQR._ _-
<br /> .i ,stY:>a':7-. -
<br /> t hereby certify-that the above named material.was picked up at the generator-§ite listed above.
<br />�river Signature.';... /i Q�w►., � Y.(��- �_ - � L -'--- —
<br /> hi;�ment Date: /r7-Z 9 - 9 Z
<br /> Truck No.: c16 � ' �- ---- Load No. ;..2 '.
<br /> JehiclP License Nv/State ? 1).
<br /> sultant/Contractor: WH E - .S E ----
<br />(ddress: P.0: BQX 5729 - M�Q E S T Q_�L51i95355 -.__..
<br /> hone: ( . 209) 579' -• 8138 t Contact:...- MIKE_ L.,9
<br /> hereby certify that ythe'above named•m'ateria l is consistent.with the information presented in the Waste Characterization Fornrk
<br /> nd Contaminated Soil Description Form,and has been property described,classified andpackaged,and is in proper condition
<br /> or transport according to applicable regulations. -
<br /> IC
<br /> lame: t f - i Date:
<br /> 1 k t rw I k by •..
<br /> C rk
<br /> lestination, Forward,
<br /> 9999�SouthAustin Ro Manteca California 95336
<br /> Received byx
<br /> Dated�" �`• �� t�� � 1�--- :L f•, .-� . T,� ��,i
<br /> � .�,'� � x �.. F J. � Cil _ � --• -
<br /> f.rw"��•.YSC} ry '4J � { 1} l`t i
<br /> acceptance No „� 92 n 225 " t zy
<br /> :iSTY� JJ
<br /> :• � '*�S ` '��^'Tf'2 MI�.�•�'}'.• + x - Gary_ t-y x }_ i* ew r ! „C " ,-r ti -, �-- �.�-,.
<br /> This loadJt contai s""oil with
<br /> _ '� f. less than 100 ppmq� � ' " ' ' S,. greater than 100 Ppm
<br /> S'p'a. yf•1�1h_
<br /> ys-`LiY`'"'�1i"e f c.:T L -- -.:x -..ag s•€. '2'k•,: -3' - .•� \t r•,-. - �-.o r �'#', -+ »�:, - - - c i�
<br /> PNT
<br /> PY-OF,THIS:'SHEET MUST ACCOMPANY EVERY.WASTE LOAD; AINID MUST. BE SUBMITTED AT„�•H!=''CATE•FOR _ :
<br /> „W fv.-ia'5rst.wr•b 1
<br /> RY.P.LLLOADS'MUSTBE•,BCHEDLILEDAT�LEAST24HOURS\IN ADVANCE--`, (209)882-4298 'LANDFILL DELIVERIES:;-',-
<br /> MUST BE SCHEDULED ON ADAILY BASIS ANY•UNSCHEDULED LOADS MAY. BE REFUSED AT THE'GATE r i {
<br /> „* � R �f ti { Y a k
<br /> - J .a �� r i • J 7 +r`rY \ `f4 ,! > q`- ZN _ y - •' f-' „�
<br />�ards Per tliis Load _
<br /> ..�vw.•e S^Lx fy '`'�' c r r .l. ♦ > ,z r - a r r � ° -� .F.a 'r t - K
<br /> -
<br /> i $_. .�+E,���a�•.. f' I. _ i _ t � 3.�•r �t x+v-•..ta', i.k R.>t+y3y
<br />
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