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® Recycled Paper <br /> 1 , <br /> rOAWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> / - r 03036 <br /> Generator 1L � � t C <br />,Address r-en<'- I V ��� til- �`� c � GI S� <br /> Phone ( +�_ - __ ��� Contact <br /> Transporter l) S�-� F'- �T `t-' -`-"`-`ti3te'r�� <br /> Address 2%-L <br /> Phone (9 f ur Contact I= - t _ <br /> I hereby certify that the above na d_material was picked up at the generator site listed above <br /> Driver Signaturef �� <br /> Shipment Date — <br />' Truck NoZ7 ZZ Load No , <br /> Vehicle License No/State d - <br /> Itisultant/Contractor <br /> Address <br /> Phone (A"11 Lp - �a�-�'1 Contact <br /> I hereby certify that the above named material is consistent with the Information presented In the Waste Characterization Form <br />' and Contamii ated Soil Description Form,and has been properly described,classified and packaged,and Is in proper condition <br /> far transport aacordinq t appllcab egulat s <br /> Name Ly� Date Jy <br /> Destination Forward, Inc <br /> 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 <br /> Received by ,1-�j --- - <br /> r <br /> Date <br /> Acceptance No - —7 k <br /> This load contains soil with <br /> T�I-EE- less than 100 ppm greater than 100 ppm <br /> .PY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> 4NTRY.ALL <br /> LOADS MUST Bi=SCHEDULED AT LEAST 24 HOURS IN ADVANCE (209)982-4288 LANDFILL DELIVERIES <br /> MUST E SCHEDULED ON <br /> A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> Yards Per this Load <br /> f <br /> TRANSPORTER COPY <br />