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Recycled Paper <br /> JRWARD, INC: NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> t <br /> 03081 <br /> Bank of Stockton Genera` cr <br /> ing Loati;)n : 3430 S . r3 0cra,-ic <br /> G�neratoli, <br /> 11 <br /> P_ 0. Box 1110 , `;trcktcwn , Cu . 31:200 <br /> Address: <br /> Phone:( 20. 341 - 137E Contact: lohn t!rrut-ia <br /> Transporter: M/ /�'/�Environmental Serviccsr: n!c . ((��+�� //}} <br /> 3400 Manor St . , �J 4'Ile,?�� ��� , LTJ . 93 30C, <br /> Address: <br /> Phone: ( 911 S5£3 - 9316 Contact: `'d Morrison <br /> I hereby certify that thtqoyp namedrn artal was picked up at the generator site listed above. <br /> Driver.Signature: ; <br /> Shipment Date: <br /> i <br /> Truck-No.: x Load No.: -26 I <br /> Vehicle License No./State: <br /> Rino Environmental <br /> Aultant/Contractor: <br /> Address:---P- 0. Box 208 , Folsom 0.!: . 956^0 <br /> 916 293 2241 Ronald K . Rinehart <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 Conta 'nated Soi escription Form,anas been properly described,classified and packaged,and is in proper condition <br /> for trans ort ccordin applica regulate t S. <br /> Name: Date: I r <br /> Destination: Forward, Inc. <br /> 9999 South Austin R ad, Manteca, California 95336 <br /> (209) 982-4298 r <br /> Received by: i F <br /> Date: L <br /> Acceptance No.: 92- 1 7 3 <br /> 1 <br /> This load contains soil with: <br /> Gas and <br /> D-esel Contaminate4ss than 100 ppm greater than 100 ppm <br /> ikPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR �I <br /> 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 /> Yards Per this Load: - <br /> --- -- — - - TRANSPORTER COPY-- - - <br />