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FbRWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> s �a�lr� n�stri �r.��"nr� 1324 ' <br /> eanl< of Stocl<ton Generating Location 1149 W _ Weber <br />' Generator <br /> Address P O Lax 1 1 10 , Stockton , Ca . ^5209 <br /> 209 941 13 o <br /> hn tjr-or <br /> Phone <br /> ( ) - Contact <br /> M P Environmental Services ;nr. <br /> Transporter <br /> 3400 Me,rr St . , Bakersfield , Cn - 03308 <br /> Address 569 X 3 1 E El , <br /> Phone Contact( ) - <br /> I hereby certsfy that the abov med material wa scked u j t the generator site listed above <br /> Driver Signature <br />�r Shipment Date G <br /> Truck No - d Load No — <br /> Vehicle License No./Stalte - <br /> r <br />�o.6sultant/Contractor Rino Env-ironmen tal <br /> p_ O. 13ox 208 , Fn sorry . a . <br /> Address Ronald K Rinehart <br /> Phone ( 9)16 931 2241 Contact <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Forn <br /> and Contaminated Soil Description Form,and has been properly described,classified and packaged,and is in proper conditioi <br /> for transport�ac rdmg t pf�cabte r ulaUons <br /> Name C f� Date Cir <br /> Destination'Forward, Inc <br /> 9999 South Austinad, Manteca, California 95336 <br /> (209) 982-4298 <br /> Received by <br /> Date <br /> 92 17A 4 <br /> Acceptance No <br /> This load contains soil with <br /> Diesel Cor,tami nb ed <br /> less than 100 ppm greater than 100 ppr <br /> OPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FC) <br /> ENTRY ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE (209)982-4298 LANDFILL DELIVERIE <br /> MUST BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> Yards Per this Load , r <br /> TRANSPORTER COPY <br />