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Recycled Paper <br /> FORWARD, INC. NON-HAZARDOUSW S A TE E DRIVER IDENTIFICATION FORM <br /> � Q45 <br /> Generator �� � �� lam?. <br /> Address ft� ( Cd7"5- <br /> Phone ( ) — - _ 3-757- Contact <br /> Transporter `' • P. J=?'a <br />' Address (:; 7 <br /> Phone Contact �� � <br /> I hereby certify that the above rp d rR w s picked up at the generator site listed above �- <br /> Driver Signature <br /> Shipment Date <br /> Truck No / Load No <br /> Vehicle License No/State ! <br /> Issultant/Contractor No �), <br /> Address T3D C1 <br />' Phone Contact 1-21 _ <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> iand Conta"ted Soil Description Form,aqd4as been property described,classified and packaged,and is in proper condition <br /> for transport ac ordm �Pphc�bl gul ti ns <br /> Name <br /> Date �2 <br /> k <br /> Destination Forward, Inc k.. _ <br /> 9999 South Austin Road, Manteca, California 95336 1 , <br /> (209) 982-4298 <br /> Received by ) <br /> I Date - <br /> Acceptance No -1-2, _ __ 1-74 <br /> _ <br /> This load contains soil with I <br /> less than 100 ppm greater than 100 ppm <br /> 7PY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> rRY ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE (209)982-4298 LANDFILL DELIVERIES <br /> ST BL SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> Yards Per this Load <br /> i <br /> _ _4 TRANSPORTER COPY <br />