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A <br /> •"�.�s ® iaecycfed Paper <br /> E FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 4 03039 <br /> Generator IC �+-�'�C-7�) �►-r'�' Ltd I.,� _ � � � <br />' Address <br /> Phone (?, ) "51 Contact <br /> Transporter •P 4T7�0 1 <br />' Address <br /> Phone Contact <br />' I hereby certify t at t above named material was picked up at the generator site list <br /> � ed above <br />' Driver Signature Lin, <br /> Shipment Date ! - q). <br /> Truck No Lk ? Load No <br />' Vehicle License No/State ' <br /> e <br /> NLsultant/Contractor --PLIL-�Qt-�V <br /> Address 'PJZ>_ Glc <br />' Phone Contact <br /> I hereby certify that the above named material Is consistent with the information presented in the Waste Characterization Form <br /> and Conta ted Soil Description Form,a has been properly described,classified and packaged,and is in proper condition <br /> for transp rt a cords to pplicab gul ti ns <br /> Name —� <br /> Date <br /> Destination Forward, Inc <br /> 9999 South Austin 13oad, Manteca, California 95336 <br /> (209) 982-4298 <br />' Received by <br /> Date n - - <br /> Acceptance No � _ i -T�` <br /> This load contains soil with <br /> D1 less than 100 ppm <br /> greater than 100 ppm <br /> OPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> RY 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 _ J!F5 <br /> TRANSPORTER COPY <br />