Laserfiche WebLink
: .� <br /> k 4Ark <br /> Recycled Paper <br /> V <br /> JRWARD, INC. NONHAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> f. 03087 <br /> ,4r=gt.ern Lift <br /> Generator: - Sani< of Stnc1<t,->n Ganpratinr Loc:ation : 3430 S_ El Dcarad <br /> P_ O. Box 1110 , Stoc_-!•:tcn , Ca . 951,09 <br /> Address: <br /> 20 9'41 _ 1375 John lJrrut;a <br /> Phone: j Contact: <br /> M S . s <br /> Transporter: P Fnv , ranm�nta 1 ..�rvi c�..� inc . <br /> 340 ? Manor St . , 9aker sfieId. , Ca 93?0f? <br /> f Address: <br /> Phone: ( n 1 668 _ -0216 Contact: Ed !dor r i son <br /> f <br /> l <br /> i I hereby certify that ve named ateri I was picked up at the generator site listed above. <br /> Driver Signature: <br /> Shipment Date: <br /> E Truck No.: 't /—d _ toad No.: T <br /> 1 Vehicle License No./State: ��� <br />'1 <br /> ` Rino Environmental <br /> tultant/Contractor: <br /> Address: P. O. Box 208 Folsom Ca - 05630 <br /> 916 gsu _ 2241 Ronald K_ Rinehart <br /> Phone: j ) Contact: <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> and Contaminated Soil Description F rm,and s been properly described,classified and packaged,and is in proper condition <br /> for trans`po accord4o applicab a egulati n . <br /> Name: Date: <br /> ' Destination: Forward, Inc. <br /> 9999 South Austin Road, M nteca, Calif rnia 95336 ` <br /> (209) 982-4298 �� -� �� <br /> Received by: <br /> Date: r— <br /> Acceptance No.: 9 2- 173 <br /> This load contains soil with: <br /> Gas and <br /> Die•sa-l Cnn t ami natelbss than 100 ppm greater than 100 ppm <br /> tF� PY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> 209 <br /> i )Y.ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE: 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 />