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- Recycled Paper <br /> ,r1WARD9 INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FOR <br /> " M <br /> * Western f._ift 0307 <br /> Generator: Bank Df 5tnckt.�n Ge-norat. ing t..o^,aY_i �7 _ 31? 3Q <br /> Address: <br /> P- D. Box 1110 , Strr.kt^n , ca - !��?_L7n S_ F�1 Dorado <br /> Phone: ( 2 041 5 <br /> �--- <br /> Contact: , chn Urrutia <br /> - <br /> Transporter: M P Environrnental Services ?rc <br /> Address: w400 Manor SC , . Rakarsfipld , <br /> 1 . <br /> Phone: 'P S 6£3 � 9 3 1 5 <br /> "�-- Contact: ',:d Morrison <br /> I herebycertify that <br /> Y e name ate lal was picked up at the generator site listed above. <br /> Driver Signature: <br /> Shipment Date: � ' �`' =��' - <br /> Truck No.: <br /> �i Load No.: <br /> Vehicle License No./State:-h � <br /> i <br /> nt/Contractor: � <br /> address: P. O. Bcx 208 Folsom, Ca _ gSS�D <br />'hone: ( 91)ls 833 2?_d 1 Contact: Ronald K. Rinehart <br /> "�-- - <br /> hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> nd Con minated it Descfipti n Form and has been properly described, <br /> r tran P Y bed,classified and packaged,and is in proper condition <br /> E p acco i to appl c ble re lotions. <br /> ame: ` - �} - <br /> Date: <br /> ` 3 <br /> 3stination: Forward, Inc. <br /> 9999 South Austin Road, Manteca, California 95336 I <br /> (209) 982-4298 r ', <br /> Received by: <br /> Date: — <br /> ceptance No.: 2 1 7 g <br /> is load contains soil with: <br /> Cas ,and <br /> ContaminatclAs than 100 ppm <br /> greater than 100 ppm Nti <br /> .eAl')P F THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> l_LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE: <br /> (209)982-4298 LANDFILL <br /> ST BE SCHEDULEDD ON A DAILY BASIS. ANY UNSCHEDULED LOADS MAY BER FUSED AT HE GATEDELIVERIES ` <br /> 0 <br /> Js Per this Load:1 I <br /> ._�TAANSPORTER COPY I'� <br />