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Recycled Paper <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> Q3a38 <br /> GeneratorU'N�)L (L4 `� fes, ��� <br />! Address <br /> Phone � _ rf Contact U 1 -LTT"7 <br /> i <br /> Transporter1''� <br />' Addressa <br /> Phone ('.L�) - Contact-� �`—(�-tv"'T� <br />' I hereby certify that the above named material was picked up at the generator site listed above <br /> Driver Signature vV <br /> Shipment Date <br /> Truck No Load No _ <br /> Vehicle License No/State <br /> �ultant/Contractor V-7j <br /> Address es• 7C.- { el Ste,3 0 <br />'Phone (61 IL,) Contact P:: F-1 r --')f=5 <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br />'and Contain ted Soil D cription m,an as been properly described,classified and packaged,and is in proper condition <br /> for transpo t a or i o pplicab e r gut ti <br /> Name Date <br /> 1 <br /> Destination Forward, Inc <br /> 9999 South Austin R ad, Manteca. California 95336 <br /> (209) 982-4298 <br /> Received by T <br /> Date <br /> Acceptance No <br /> This load contains <br /> Soil with <br /> less than 100 ppm <br /> I greater than 100 ppm <br /> 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 /> MUST BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> Yards Per this Load <br /> TRANSPORTER COPY _ <br />