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® Recycled Papers <br /> FORWARD, INC. NON=HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 5384 <br /> Generator: A) -, �� ✓ r�G 1J 1' ` ; �/ <br /> Address: <br /> Phone: o cf ) --'/Sf� - �?// Contact: <br /> Transporter: Ix 4" <br /> Address: <br /> Phone: Contact: <br /> I hereby certify that the above nameP'material was picked up at the generator site listed above. <br /> Driver Signature:./ •`�``�- ' -~. «J -. <br /> Shipment Date: <' . <br /> Truck No.: Load No.: <br /> Vehicle License No./State: <br /> �I <br /> Consultant/Contractor: /irJ S ' 1 '��� ^l, i '� `•�-- <br /> Address: <br /> Phone: ( ,��4 ) 4% _ ,� ' ,ra �_ Contact: L r <br /> 1 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,aril is in proper candition <br /> TV— <br /> for transport according to applicable regulations. - <br /> Name: f Date: -� <br /> I <br /> Destination: Forward, Inc. <br /> 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 f w <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.WA.STE .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 />