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• .w r'! k' Paper <br /> Recycled <br /> FOFiWj RC, INC. NON,:HAZARDOUS WASTE DRIV+ER,IDENTIFICATION FORM <br /> �M ��� r. . ; 513 0 <br /> .Ge4%'tor. S. U !� (' . <br /> Address:' j�' <br /> Phone: ( 2Lq�/) <br /> Contact: <br /> (' <br /> ! <br /> � <br /> TransporteIr: 1 r ; ;4 r li <br /> Address /� `r` /l /� ! <br /> Ph n ,Coptact <br /> 4pi e I <br /> I hereby certify that the above named material was picked up at the generator site listed above: <br /> Driver Signature: i S'. �, ,} ,+ <br /> 5 f ° <br /> Shipment Date: <br /> l <br /> Truck No:. — <br /> as v' <br /> Vehicle License No./State: rl� F3216e36 <br /> i recycled paper i <br /> Consultant/Contractor; n C r <br /> M r i �? z 1 m x D m p z I <br />'Address,t ',') °° o a o , N <br /> a m 7 r ve° C m 1 <br /> Phone ( 4 x` ) Conta� i IN o 0 N Z <br /> 13.0 <br /> `a t p r <br /> hereby certify that the above named material is consistent f .,) m 0, o <br /> n <br /> and Contaminated Soil Description Form,and has been prop s 00 00 Do . ' < N z <br /> for transport according to applicable regulations. P o`'i El 0 >> a T 0 © U+ o m <br /> D <br /> = m.Q xEn aOa o n n <br /> m :am Q.� m pZ � 0 vmi y F <br /> iS a Z D' � r -i b a b <br /> Name: W 3 0 5 <br /> z vx <br /> F tMZ D 37 O +5 N w <br /> my ilii z � J - <br /> IkY " .• -fie L .�Ky- y' .ur_r+75 kY'�,, +"% }p r}+.� ,•� i� ; Q - r,' .1 v .a + <br />,l <br /> 00 <br /> Destination:-j,Forward, Inc 7 b«. �s h. I I ` , . .'f- <br /> :9999 South Austin Road, Manteca;California 1 O ` °° o <br /> oa r 1 <br /> (209) 982-4298, �:,` i' i y M <br /> Received by: - 1 `i .+ ,t o c W <br /> • �' s On o O <br /> Date: x t <br /> � � m <br /> 00 <br /> Acceptance No - 311 <br /> Z, : 0 " , 9 ` o <br /> ' x <br /> This load contains soil with. - ) <br /> = I, <br /> 7 O _l n <br /> less than 100 ppm C: Tally Sheet No. QJ _ W N <br /> A COPY OF THIS SHEET MUST ACCOMPANY EVERY W) n <br /> ENTRY.ALL LOADS MUST BE SCHEDULED AT LEAST 24 I x <br /> MUST BE SCHEDULED ON A DAILY BASIS. ANY UNSCHE + . <br /> Yards Per this Load: <br /> E <br /> WHITE-FACILITY COPY YELLOW-TRAI ? 4 <br />