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<br /> .. ,�CRWARD, INC NON I�AZAID�QUS WASTE DRIVER.IDENTIFIC/4TI�h1 FO/ 0
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<br /> Generator:-1:1 '`` GEG" :)~ IS HULARft7—
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<br /> ddress.' 1705; f� BROADWAY
<br /> phone ( 205 94R " �� �SnC] "' j , Contact P_f3E�1r1=Y SCEIW�AH E }
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<br /> ' 1 fx+... '�--t+ i _ .'. .,•• Yrs .,� � { � k { s .
<br /> Transporter. r: _ t�TI,Tt1N TRl1('KTNC
<br />�ddress ` ' S 1336` PAUL'
<br /> HEE '-`" �" - -••--••---•---@i0L1EST�J-r�G9�'���
<br /> Phone ( 209 } > 578 Contact: ' S1'C1TT MF�J_ClE� —
<br /> hereby certlfy,that the above name materi ,was picked up at the generator site listed above.,;
<br /> river Siy"nature:
<br /> hipment Date:-
<br /> Truck Nom _ Load No.:
<br /> ehicle License No /State�t f -f < a /C A '
<br /> PW36 I ltanVCoiniractor
<br /> ddress: �'0 - BOX 6729 __t4f) PST-nom Ar_ C,53SS
<br /> hone: ( 2D9} 979 _8_t3 8 Contact: MIKE KL011E2-M.AN "
<br /> hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form
<br /> nd Contaminated Soil Description Form,and has been properly described,classified and packaged,and is in proper condition _
<br /> or transport according to applicable regulations.
<br /> lame: Date.
<br /> destination: Forward, Incta;
<br /> 9999South.Austin Roa teca, California 95336
<br /> t (209) 982
<br /> ReCeiVed by
<br />�cceptance'No
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<br /> This load,co.ritainssoil-wjt>7' �
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<br /> -+�. ) �-z^. r .. �- r Hyl
<br /> ,�{� Jess than:100 ppm�SP' , `.. _- � , r "- - t �� f - greater than 100 ppm
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<br /> I �?PY OF THIS SHEETS`MUS�T ACCOMF�ANY,EVERYyWASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR
<br /> NTRY: AL' LOADS NiUST'BE�SCHEDULEDAT LEAST24HOURS 1N ADVANCE::_.,_ (209)982-4298,.LANDFILL DELIVERIES
<br /> MUST BE SCHED r»"ON' .,., �.__ �_,. y, z..
<br /> ULED'ON,A DAILY.BASIS:,ANY'UNSCHEDULED LOADS,MAY SE REFUSED AT THE GATE. w�
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<br /> ards'f�er this:LoaV _"6'fii'. a +t rti � � y7 )iYi 4 P t M a t f ry
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