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I ® Recycled Paper <br /> rORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 03034 <br /> Generator � T � �� } �``�' 'i�L <br /> ddress U1 I U ,--�C `I�st.3 C.r-- <br /> honefaz�;)q �_ - 137 Contact ` <br /> Transporter l r"Q1-� [ I c� <br /> Iddress <br /> Po ¢ Li`aCfL S; 7 G/`� 33 <br /> Phone ( G11(4 �' - _ 9 42 -- Contact <br /> hereby certify t e above named material was picked up at the generator site listed above <br /> Driver Signature&_,"(_0Z'V —2?as(p <br /> Ihipment Date <br /> Truck No Load No f <br /> le h icle License No/State <br />�ultanVContractor �'� ��'`avt��`� I <br /> Address ,, .� <br />'hone ( �} ������--�� —Contact <br /> hereby certify that the above named material Is consistent with the information presented in the Waste Characterization Form <br /> d Conta 2rated Soil D scription Form,and has been properly described,classified and packaged,and Is In proper condition <br /> Ir transp rt ccording o ppiicat5l r ulati s <br /> Name Date <br />�stination Forward, Inc <br /> 9999 South Austro oad, Manteca, California 95336 <br /> (209) 982-4298 F <br /> Received by C <br /> Date <br /> Acceptance No )-74 <br /> tis load contains soil with . <br /> �1� less than 100 ppm greater than 100 ppm <br /> 1 PY 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)982-4298 LANDFILL DELIVERIES <br /> jT BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> Yards Per this Load <br /> TRANSPORTER COPY <br />