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® Recycled Paper <br /> AWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM' <br /> Z7 Western Lift 03078 <br /> Sank o-F Stockton Gpne a.'_i nth Locati car, : 3430 S _ El Daradr. <br /> Generator- <br /> Address: r 11L , .ULA r i , v C _ 2 5 4.V S <br /> 0� 041 13?fi ,l L.,hn tjrt-u'tia <br /> Phone - Contact: <br /> EnvIrcnm nt4l Sarviccs Inc . <br /> Transporter: <br /> Address: i <br /> 91fi <br /> 660 i`315 % Ed Morrircn <br /> Phone: ( ) - Contact: <br /> I hereby certify that t e med m ial wjas picked up at the generator site listed above. <br /> Driver Signature: <br /> Shipment Date: 92--- <br /> Truck <br /> ---Truck No.: � Load No.: <br /> Vehicle License No./State: <br /> Uo� 1 <br /> 1 <br /> Rina Environmental <br /> Itant/Contractor: <br /> Address: P. 0' Pox 208 , Folsom, 0a _ n;SuO <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 Cont nated Soil Descriptio Form,a has been properly described,classified and packaged,and is in proper condition <br /> for trans Ort ccordi g applic b regu ns. <br /> .Name: Date: <br /> Destination: Forward, Inc. <br /> 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 <br /> Received by: <br /> Date: <br /> 92 173 <br /> Acceptance No.: - <br /> i <br /> This load cutains so� with: i <br /> as an r <br /> t)I esGl Contaminate <br /> less than 100 ppm greater than 100 ppm <br /> �k <br /> A:!PY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> Er:A- Y.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 /> U <br /> Yards Per this Load: Q <br /> I <br /> TRANSPORTER COPY <br />