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Recycled Paper <br /> t V� <br /> FORWARD, INC. NON-HAZARDOUS-WASTE DRIVER IDENTIFICATION FORM <br /> 03040 <br /> Generator <br /> Address <br /> E x"35 Contact <br /> Transporter <br /> �P. ��Vt�►�` --��-'' '`� --E'er--�J 1 L-r--�.� <br /> Address -��-; <br /> Phone { i�) - Contact <br /> I hereby certify that the above na .ed3 material was picked up at the generator site listed above <br /> Driver Signature <br /> Shipment Date <br /> Truck No. D Load No <br /> Vehicle License No/State LIP (� J k fc <br /> sultant/Contractor <br /> Address Pc�, el=� <br /> Phone "`tg3? - d :�! Contact <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br />,and Cor►taminsted Soil gescription Form,anA has been properly described,classified and packaged,and is in proper condition <br /> for transpor a cordin t appfic le regul ti n5 <br /> Name 4 Date y <br /> Destination Forward, Inc <br /> ' 9999 South Austin Py6ad, Manteca, California 95336 <br /> (249) 982-4298 f 1 <br /> Received by e-�L I in <br /> Date ._ i! P 9.�= _ <br /> Acceptance No I T4 , <br /> This load contains soil with , <br /> less than 144 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 /> WY ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE (209)982-4298 LANDFILL DELIVERIES <br /> T BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> Yards Per this Load _ <br /> E <br /> TRAPtspotiTl=ft COPY <br />