Laserfiche WebLink
` r Recycled Paper <br /> _ .-ORWARD, INC_ . NON=kiAZARDOUS WASTE DRIVER IDENTIFICATION FORM :. <br /> � 000go <br /> Western t_'ft <br /> Generator: Banl< of Stoci<ton Generating Location : :3430 S . El _Dorado, <br /> P_ a Box 1110 , .r.-tccl<ton , C'j _ 95203 � . <br /> Address: <br /> Phone: ( 205 941 _ 1 3 7 5 Contact: .John tJ r r u t i a <br /> Transporter: M P Environmental Services Inc _ <br /> Address: 3400 Manor St . , B kersfipld , Ca _ 93300 <br /> Phone..:- 91 660 - 9316 f �' Morrison <br /> { Contact: <br /> I hereby certify that the above naZ91510, ateria Sicked up at the generator site listed above. <br /> Driver Signatur : ./- <br /> Shipment Date:�-_J Q `- <br /> \Truck No.: Load No.: _ <br /> Vehicle License No./State: • C� ? <11 <br /> !-lino Envi'ranmental ` <br /> sultant/Contractor: <br /> Aacsaress:' F. O- Box 208 ; Folsom, C _ `fn5630 <br /> I916 om <br /> 993 2241 Ronald K. Rinehart <br /> Phone ''�w.. ) Contact: <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> I and Contaminated Soil DLapplica <br /> tion Form,a d has been properly described,classified and packaged,and is in proper condition <br /> ! for transp cording regal i ns. <br /> Name: ., Date: <br /> Destination: Forward, Inc. <br /> 9999 South Austin Roa , Manteca, alifornia 95336 <br /> (209) 982-4298 <br /> Received by: <br /> Date: { <br /> Acceptance No.: 9 2 _ 173 <br /> This load contains soil with: <br /> Gas and <br /> Diesdl Gontaminat.edessthan 100ppm greater than 100 ppm <br /> OPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> 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 />