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Recycled Paper <br /> r <br /> JRWARD, INCe' NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> —] <br /> 03083 <br /> Generator: Bank of Stockton Ihl��t�rn <br /> Q. D. 1 c Gcn�ra :-ins- l_sas~ht;�an _ 34 30 c F� ;)1 roc' <br /> Address: Box 1 10, ,toq-kton , t;� 9E200 <br /> SS: ., <br /> Phone: ( 209 341 _ 1375 Contact: Jchn tlrruti, <br /> Transporter: M P `wnviro'nmer.si Sn ry rn <br /> 3400 N3ar�orSt . , <br /> Address: <br /> Phone: ( r .. .: . �. . <br /> :. Contact: -�' 'hInr^i sc•n <br /> I hereby certify tAthv n ed mater" was icked up at the generator site'listed above. <br /> Driver Signature _ <br /> Shipment Date: D - <br /> Truck No.: ' — Q <br /> h Load No.: r <br /> ehicle License No./State: v G�2 <br /> . a <br /> —A& <br /> nt/Contractor: ' <br /> I <br /> ddress: r'- O_ Box 2083 Folsom Ca . .95530 <br /> 91 hone: 983 2241 Ronald,d K j <br /> ( - Contact: _ R;ne ha r t <br /> { <br /> hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> nd Cont Ip <br /> ed Soil D Option Fbr and has een properly described,classified and packaged,and is in propercondition ' <br /> r transpo ac rd g t �a licable r g lations. <br /> lame: JL � • A .� <br /> Date: I <br /> estination: Forward, Inc. ' <br /> 9999 South Austin R J 0,r Manteca,'Cl�A� oi <br /> rnia�95lr336 <br /> (209) 982-4298 <br /> Received by: - 7- <br /> 2 <br /> 0 <br /> jZ, <br /> Date: 4 <br /> ceptance No.: ____—� - 173 <br /> its load contains soil with: <br /> Gaza and <br /> Contdess than 100 ppm <br /> greater than 100 ppm <br /> "F THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> LL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE: (209)962-4298 LANDFILL DELIVERIES <br /> ST BE SCHEDULED ON A DAILY BASIS. ANY UNSCHEDULED LOADS MAYBE REFUSI=D AT THE GATE. <br /> rds Per this Lo_td: <br /> - I <br /> TRANSPORTER COPY '. <br />