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Recycled Paper <br /> CORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 03037 <br /> Generator ��t.3 �`c�+✓�-�fJ ��� � �,�. l� �r <br /> Address -PC:> <br />' Phone {� ) � _ t �v"'7� Contact <br />' Trans p orter <br />' Address <br /> Phone (Cl I ('A Contact <br /> I hereby certify that the bove named material was picked up at the generator site listed above <br /> Driver Signature ' Qr—c� <br /> Shipment Date <br /> Truck No q S Load No <br /> Vehicle License No/State <br /> sultan t/Cont ra ctor 12-1 tvi) tE­I­. �i {r"— <br /> SN <br /> ress Pb 607<d 9 '� O <br /> hone (���+ _ _ _Contact �_moi NI~ <br /> hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> and ContamiMed Soil Description Form,and has been properly described,classified and packaged,and is in proper condition <br /> r transport�ac ording t o licable g latio s <br />(ame <br /> Date <br /> i <br /> Destination Forward, Inc <br />' 9999 South Austin Rof d, Manteca, California 95336 <br /> (209) 982-4298 <br /> Received by j <br /> Date Icceptance No _ 19'x! _ <br /> Fis load contains soil with i <br /> _ - less than 100 ppm greater than 100 ppm <br /> 1 7PY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> E. Y ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE (209)982-4298 LANDFILL DELIVERIES <br /> 17BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> d��er this LoadU- <br /> I <br /> TRANSPORTER copy <br />