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® Recycled Paper <br /> AWARD, INC.. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> �3�72 <br /> iwr.=sterr. L.i i <br /> Generator: Banl< of Stockton Conor,:"—'Cj I.,0cDti0'_1 - 3430 S. E DcrF,c I <br /> P_ C. Cox 7110 _ Stcck-_ ten , Co . 0S20�' <br /> Address: <br /> Phone: ( 2 C°) 941 _ '1375 Contact: .John J r r -1 i <br /> Transporter: M n� !:r,virrnmenta Sc-.rv4c-es ?nc . I <br /> Address: 3c 00 NMunir St . , S a ke rsfic-?�l Ca _ 'iJ? <br /> Phone: ( g15) 568 - ` 31 Contact: 17d l'lo-rir,^_.n <br /> I hereby certify that the a named mai al wa picked up at the generator site listed above. <br /> Driver Signature, <br /> Shipment Date: 2 <br /> Truck No.: d 5, Load No.: <br /> Vehicle License No./State: <br /> Rino Environmental <br /> 41taint/Contractor: <br /> Address: P. 0 . Lox 208 Folsom_ Ca - 055?0 � <br /> Phone' 916 983 _ 2241 R, r)n 1d K _ R;nchart j <br /> { ) Contact: <br /> � I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form . <br /> and Cont7' 'natedISoil Description Form, Rd has been properly described,classified and packaged,and is in proper condition <br /> for trans acct applic le reg lotions. <br /> Date: <br /> Nam <br /> J <br /> Destination: Forward, Inc. <br /> 9999 South Austin Road., <br /> !Manteca,�California 95336 <br /> (209) 982-4298 <br /> r� <br /> Received by: _"7 "', / <br /> Date: <br /> 'Acceptance No.: 9 2 - 1 7 3 <br /> This load contains soil with: <br /> Gas and <br /> ;.-.a,--C2,1---con-tam.inatesless than 100 ppm greater than 100 ppm <br /> Y OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> EAWY.ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE: (209)982-4298 LANDFILL DELIVERIES <br /> MUST BE SCHEDULED ON A DAILY BASIS. ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE, <br /> Yards Per this Load: <br /> TRANSPORTER COPY '. <br />