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Recycled Paper <br /> t` ORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> lel-.stern t_i ft <br /> Generator: Bank of S�rcb:tor� GF^r,er�,tinq L.���� ;�;,n 3420 r � <br /> 11n , c } . 1, [ C.n.5 de <br /> x rei��on , L � t 9� <br /> Address: <br /> Phone: ( 2�')� ,4 1 _ 1 :3 7 5i <br /> Contact: John. [..r r?J t i<n <br /> Transporter: ht P Er•vi rcrmental Sc_rv-Cr^ Ir,r_ _ <br /> Address: 3400 fv;a n L r St <br /> I <br /> Phone: ( �' S ti _ 9 3 1 6 Contact: <br /> I hereby certify that the above named Fnaterial was picked up at the generator site listed above. <br /> Driver Signature: <br /> Shipment Date: <br /> Truck No.: d Load No.: <br /> Vehicle License No./State: <br /> 4)(,-,;ultant/Contractor: - <br /> Address: " ^. Scx 208 . Folsom �� . 956.,0 <br /> 915 �83 2241 YRonGl1•'lJ K_ Rlneh r'L <br /> Phone: ( ) - Contact: <br /> hereby certify that the above named material is consistent with the information presented in the Waste Characterization Forr <br /> and Contaminated Soil Description Form,and-has been properly described,classified and packaged,and is in properconditio <br /> for transpoof_a�c�^ordisg9,applica regulations. <br /> Name: <br /> Date: <br /> Destination: Forward, Inc. <br /> 9999 South Austin Rodd, Manteca, California 95336 <br /> (209) 982-4298 F <br /> I <br /> Received by: <br /> Date: <br /> Acceptance No.: 92 1 7 3 <br /> .This load contains soil with: <br /> 1 . -,n t z ro i n; t6ss than 100 ppm <br /> greater than 100 pp <br /> O 'PY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> N,-hY.ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE' <br /> 209)982-4298 LANDFILL <br /> MUST BE SCHEDULED ON A DAILY BASIS. ANY UNSCHEDULED LOADS MAY BE REFUSED AT HE GATE. ELIVERIES <br /> Yards Per this Load: <br /> �_ TRANSPORTER COPY '. <br />