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J� <br /> Recycled Paper <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 03075 <br /> W ra F,t P.r n I i f t <br /> Generator: Banl< of Stockton Generating t-ocation : 2430 SEl Onrado <br /> P_ O . nox 1110 , qtocktion , ca - 95209 <br /> Address: <br /> Phone: ( 20� 941 - 1375 Contact: John Urrtjti,� <br /> Transporter: M P Environmental services Inc . <br /> ei. 3400 Manor St . , Bal<ersfield , Ca _ 93308 <br /> Address: <br /> 9316 Contact: 17d Morrison <br /> Phone: ( F <br /> I hereby certify that the e me at faV. is picked up at the generator site listed above. <br /> i it— <br /> Driver Signature: <br /> Shipment Date: C <br /> Load 1,4o.: <br /> Truck No.: <br /> Vehicle License No./State: <br /> Baal <br /> Rino Environmental <br /> 0 ultant/Contractor: <br /> P 0, Box 208 , Folsom, Ga . 95630 <br /> Address: 916 983 21241 Contact: Ronald K . Rinehart <br /> Phone: ( <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> and Con mina' Soil Description-Form,and has been property described classified and packaged,and is in proper condition <br /> 'a �A d �4 <br /> for transport a6co din t )pficable gplatio . <br /> ci <br /> ti <br /> Name: Date: <br /> Destination: Forward, Inc. <br /> 9999 South Austin Roa Manteca, California 95336 <br /> (209) 982-4298 <br /> Received by: <br /> Date: <br /> Acceptance No.: 92 173 <br /> This load contains soil with: <br /> rjas and greater than 100 ppm <br /> Contaminat0ess than 100 ppm <br /> -)PY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> E,,,OY.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 /> 1 Yards Per this Load: <br />