Laserfiche WebLink
s � AIN Recycled Paper <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 5380 <br /> Generator: <br /> Address: l%CJD 5 - <br /> i <br /> Phone: { , ,� ) 35 - �l,� -- -- - Contact: <br /> Transporter: <br /> Address:_ f�?s �� �• rrr�3Cc Cct.i�� r�.C�c _-- <br /> Phone: { '.,y ) _ " >�� - y Contact: - ✓��/✓ �- <br /> I hereby certify that the above named material was picked up at the generator site listed above. <br /> Driver Signature: 1,;";.(L, -- <br /> t J Q <br /> Shipment Date: -� " 'j <br /> Truck No.: ' �2 -- -- —.. _— Load No.: <br /> Vehicle License NodState: -,'a 71 7Q <br /> Consultant/Contractor: X <br /> Address:_ =,' ,- �,� �.� ;")/. 1 7 , <br /> .. I J I �✓ 1 1.:. <br /> Phone: ( 2. rf? - `"` gg- Contact: <br /> �r <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 Form,and has been properly described,classified and packaged,and is in proper condition <br /> for transport according to applicable regulations. <br /> Name: r .. Date: 93 <br /> - <br /> Destination: Forward, Inc. <br /> 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 <br /> Received by: <br /> Date: <br /> Acceptance No.. <br /> This load contains soil with: <br /> less than 100 ppm greater than 100 ppm <br /> A COPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> ENTRY.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 /> Yards Per this Load: <br /> WHITE-FACILITY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />