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tw r"'�x• - r <br /> RD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 01375 <br /> n- bk� �)� -3trIbUting <br /> 'enerator eanl< of Stocl<ton 0i :,-i ng G cc.at -i nn 1 149 l,%' VJe r <br /> ddress 0 n Cox , <br /> Phone ( 201 941 1375 Contact John Urrut ito <br /> Iddress <br /> ransporter M P Env- ronmentni Fervi res In,:: <br /> Phone { 1 668 - 9 3 1 5 Contact Ed Mo r r 4 can <br /> hereby certify that t a n med mate wa picked up at the generator site fisted above <br /> river Signature <br /> hipment Date <br /> Truck No '^ Load No y— <br /> ehicle License No/StateD <br /> Wsultant/Contractor --- <br />(ddress P. o. Box 208 , Folsom, Ca. 956:30 <br /> hone ( 91 d - 912*3 - Contact •- <br /> hereby certify that the above named material is consistent with the Information presented in the Waste Characterization Form <br /> nd Contgmaled Soil Description Form,and has been properly described,classified and packaged,and is in proper condition <br /> or trans r <br /> ame Date f L <br /> Festination Forward, Inc <br /> 999 South Austin Road, Manteca, California 95336 <br /> - (209) 982-429$ <br /> Received by _ <br /> Date -• ------- , <br /> acceptance No 92 _ 174 <br /> This load contains soil with <br /> Diesel Cantam i nategess than 100 ppm greater than 100 ppm <br /> IPRPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> Y ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE (209)982-4296 LANDFILL DELIVERIES <br /> UST BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> Yards Per this Load ] 5 <br /> TRANSPORTED;COPY <br />