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Recycled Paper <br /> rORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> V #3-302 <br /> PStern Lift <br /> Generator: Bank of Stockton Generating Location , 3430 a_ El Dorado <br /> P. 0_ • c.x 1110 , stockton , <br /> Address: <br /> Phone: { 2 0 9 41 _ 1 3?5 Contact: john U r r u t-i a <br /> Transporter: M P Environmental Services inc . <br /> Address: 3400 Manor St _ Bake_r: fie I Cl , <br /> Phone: Contact: 17d Morrison <br /> I hereby certify that the abo na ed t .al was picked up at the generator site listed above. <br /> i <br /> Driver Signature: <br /> Shipment Date: <br /> Truck No.: Load No.: <br /> Vehicle License No./State: t : <br /> . Rina Environmental . <br /> sultant/Contractor: <br /> Address: P. 0 . Box 208 , Folsom, Ca _ 95530 <br /> 916 933 2241 Rona K_ Pinehart <br /> Phone: { } - Contact:- ='� <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> and Contami ted Soil escription-Form,a has been properly described,classified and packaged,and is in proper condition <br /> for transpo ac ordiylg t applica regul t'}ons. <br /> Name: (� <br /> Date: <br /> Destination: Forward, Inc. ' <br /> 9999 South Austin Roa , Manteca, California 95336 <br /> (209) 982-4298 <br /> Received by: ,s - <br /> "; <br /> Date: <br /> Acceptance No.: 9Z 173 <br /> This load contains soil with: <br /> Gas and <br /> 04esel Contaminatrte°ssthan 100 ppm greater than 100 ppm <br /> )PY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> (RY.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 />