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r 04 ' <br /> `vte? Recycled Paper <br /> x = <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 03046 <br /> Generator <br />' Address _ 3�_�' <br /> Phone ( �) y _ ( �� Contact + �' Lj tZ - <br /> I <br /> Transporter '�k <br /> Address :i-4to crz- C� <br /> Phone Contact '(Ll�.y�' <br /> 1 hereby certify that the above named material was picked up at the generator site listed above <br /> f Driver Signature --cua Lia"-" <br /> rShipment Date 6 rL_ 9 1 <br /> Truck No - O Load No <br />' Vehicle License No/State , <br /> I <br /> ultant/Contractor trrj <br /> Address G� 627 S�4r,=, =_"D <br /> Phone ('I 1(c_-)_ ')Z:17— _ Contact _r—>>I �+ <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br />' and Contaminated Soil Description Form,and has been properly described,classified and packaged,and is in proper condition <br /> for trans accord to appllca �regu atrons <br /> Name _ <br /> Date <br /> Destination- Forward, Inc <br /> 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 - <br />' Received by r9 - <br /> Date <br /> Acceptance No <br />�Thls load contains soil with <br /> less than 100 ppm <br /> greater than 100 ppm <br /> 0 AA PY 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 /> ST BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> Yards Per this Load i <br /> 'TRANSPORTER COPY <br />