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Recycled Paper <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM'.-,-. <br /> 03085 <br /> Western Lift <br /> Generator: Bank of Stocl<to,n Generating Location - 3420 S. El Dori do <br /> ox 1115 , tori,trn , Ca - 95209 <br /> Address: <br /> Phone: ( 20 941 _ 1375 Oontact: 30hn U r t1Z, - <br /> Transporter: M P. Environmental Services ,n . <br /> 3400 Manor St - , Bakersfield , (,a - 93:3013 <br /> Address: <br /> Phone. 91 6�a _ x'315 E <br /> ( � Contact: Ed Morrison <br /> �•- <br /> I hereby certify that the above named material was picked up at e neva 411sted above. <br /> Driver r <br /> i e Signature. <br /> Shipment Date: <br /> Truck No.: f 0) Load No.: !' <br /> Vehicle License No/State ; <br /> ant/ContractOr; t <br /> d S.- P, . O' Box 208, Falsom;, C a . 45630 <br /> ''.915 983 2241 Rona Ids K. Rinehart: <br /> hOne; (ay Contact: - - - <br /> hereby certify that the above named material is consistent with the'nfo;' ation presented in the Waste Characterization Form <br /> nd Cont :� mated so escription F r6,and s been properly describm,classified and packaged,and is in proper condition <br /> or trans'o acc rd it g t applicabl egulati <br /> ame: ' Date: <br /> )estination• Forward, Inc <br /> . 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 <br /> ' Received tiy: � � -- <br /> Date: <br /> cceptance No.: 92 - . 1 7 3 <br /> �ils load contains soil with: j <br /> Gas and � <br /> Ui ase 1 Cantami natele' ss than 104 ppm _ -. greater than 100 ppm <br /> ' } <br /> 7P OF THI SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT�rHE GATE FOR <br /> TI LL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE: (209)982-4298 LANDFILL DELIVERIES <br /> JS SCHEDULED ON A DAILY BAST$":'ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE.- <br /> ,rds Per tliis Load: _ <br /> TRANSPORTER COPY <br />