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riWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> Generator I� ,- 1 LJ_ <br /> Address -P-4> <br /> Phone <br />' Contact , <br /> Transporter <br /> 1 Address <br /> Phone <br /> �f Contacts <br />' I hereby certify that the ove am at <br /> %1 � n s picked up at the generator site listed above <br /> Driver Signature <br />' Shipment Date — -� <br /> Truck No V Load No <br />' Vehicle License No/State <br />' Consultant/Contractor I >'-31 <br /> MAddressr� Com. � ,� <br /> one (�1} ir.�i— - _ "7�-�'� '- <br /> Contact <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 in proper condi <br /> spoaacording tbleo I�ca ~for tranulatio s edd IP tion <br /> / c <br />' Name <br /> � Date <br /> v <br /> Destination Forward. Inc <br /> 9999 South Austin Road, Manteca, Callfornia 95336 �- ~ <br /> (209) 982-4298 <br /> Received by _ <br /> Date {- <br /> Acceptance No 1 _ <br /> This load contains soil with <br /> less than 100 ppm <br /> 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 /> 4nr this Load I <br /> TRANSPORTER Copy <br />