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Recycled Paper <br /> ;JRWARD, INC. NON HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 03086 <br /> i Generator- Bank of 5t_nci<tor, Generating Lozat •on _ 3430 S _ E1 i0orar,1C <br /> P. 0 BOX 1110 , StOCI<t�-)n , C,3 . 9S209 <br /> Address: <br /> Phone: ( 20P 341 _ 1375 Contact: John U.-rUZis <br /> Transporter: ;N n Env!rc.,n.nrntrl SarvicGs Inc: . <br /> 34.00 Manor St . , Balker7f :-1c? , <br /> Address: <br /> Phone: ( 91 56S - =316 Contact: Ed Mor i-;s nan <br /> I hereby certify that th qve named eriai was picked up at the generator site listed above. <br /> Driver Signature: / <br /> Shipment Date: a :2— <br /> f <br /> Truck No.: "' Load No.: <br /> Vehicle License No./State: a <br /> Rino Environmental <br /> f 46 ,uItant/Contractor: <br /> P. O_.- Box 208 , a 95630 <br /> 916 983 2241 Ronald K . Rinehart <br /> Phone: ( ) - Contact: <br /> I hereby certify tha the above named material is consistent with the information presented in the Waste Characterization Form <br /> and Cont ated 10i scripti6in F rm,an -teas been properly described,classified and packaged,and is in proper condition <br /> for transport ccordi t applicabl egulat n <br /> Name: Date. <br /> , <br /> Destination: Forward, Inc. <br /> 9999 South Austin Roa , Manteca, California 95336 <br /> (209) 982-4298 'L 4 <br /> Received by: ''7 ' ` <br /> Date: <br /> Acceptance No.: 02- 173 <br /> This load contains soil with: <br /> Gas and <br /> Diesm1 Con=,mi_nat Idss than 100 ppm greater than 100 ppm <br /> ')PY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> E 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 /> -N"r this Load: <br /> TRANSPORTER COPY <br />