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y Recycled Paper VV <br /> e r V/ <br /> FORWARD;� INC. NON-HAZARDOUS.WASTE DRIVER IDENTIFICATION FORM <br /> 5378 <br /> Generator: fr ds ✓ ' <br /> Address: � 1' <br /> Phone: <br /> ( ��) ---�� - —��l �..., Contact: <br /> Transporter: <br /> Address: <br /> Phone: - % s <br /> - M� Contact: c�� (� '�_ i l <br /> I hereby certify that the above named material <br /> was picked up at the generator site listed above.' <br /> Driver Signature: �® <br /> Shipment Date: <br /> Truck No.: Load No.: �* <br /> Vehicle License No./State: r9 <br /> ' 7 <br /> Consultant/Contractor: --S <br /> Address: ., %� <br /> C/Phone: ( ��} ) --yG S - -2–`�'. f 1 Contact: '1141 L. <br /> I hereby certify that the above named rhaterial 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'�u�Sf,.� __.._ Date. <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: L - <br /> WHITE-FACILITY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />