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Recycled Paper <br /> �12RWARD,' INC., NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 03098 <br /> Generator: iJanl< oF 5toci<ton Gt n�rt�t.�r Location - 3430 J-1 Dorad.. <br /> Address: p' 0 <br /> Ox 1 1 10, <br /> Phone: ( `0p 941 _ 1 37�- Contact: !chn tJrr,jt;'n <br /> r <br /> Transporter: M F En•✓it ronmc nta 1 Sr-ry a ces :n-,;, <br /> Address: <br /> Phone: ( 93 '< 5 Contact: Ed Mr^r, teen <br /> 1 hereby certify that t e amed mat r Iy9s picked up at the generator site listed above. <br /> Driver Signature: <br /> i - <br /> Shipment Date: y <br /> Truck No.: Load No.: <br /> Vehicle License No./State: L? <br /> Ritzo En VZr'Onl'11E:n�7� <br /> *- Itant/Contractor: <br /> Address: p- 0. Box 2012 , Folsom, Ca . 95fi30 <br /> Phone: ( 91)6 983 224. 1 Ranald K. f2�n� tarp ; '� <br /> —�--- Contact: <br /> 1 hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> and Cont mated Soil Desc4 'on For ,and has been properly described,classified and packaged,and is in proper condition <br /> for trapo _accor + g to ap Ii ble r ulations. <br /> Name: + <br /> Date: �- <br /> Destination: Forward Inc. _ <br /> 9999 South Austin Road, anteca, Californ,a';. <br /> (209) 982-42'98 r . ... . <br /> Received by: - <br /> Date: <br /> Acceptance No.: _--� 7 <br /> This load contains soil with: <br /> Gas and �.>-.s. greater than 100 ppm <br /> niQG91 Contaminatq#bsthan 100ppm <br /> AT THE GATE <br /> ''r Y OF THIS SHEET MUST ACCOMPANY EVERY WASTE S IN ADVANDMUST CE: (20)982-2 8BE TL D�FILL DELIVEROS <br /> LEAST 24 E. RY.ALL LOADS MUST BE SCHEDULED AT Y UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE. <br /> MUST BE SCHEDULED ON A DAILY,BASIS. AN <br /> Yards Per this Load: <br /> TRANSPORTER COPY <br />