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0 Recycled Paper <br /> jWeORwAnD,'_INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> i <br /> � 3a4� <br /> enerator �`�SL �f2� �, ��,�� � I�t� [ D ��� - <br /> ddress <br /> hone ( ) �_ _ >"7 Contact Upt <br /> ransporter <br /> ddress H' (.'`� �- f� _�f=-r _1� ��. '9 '?�,Uj <br /> tgone ( �l(� — ( _ � - Contact 47 7:_'� <br /> hereby certify that the Jove arced r�r a'terlal was picked up at the generator site listed above <br /> taver Signature <br /> hipment Date <br /> ruck No. _Z2 1 <br /> Load No <br /> lehicle License No/State D <br /> imultant/Contractor Izi <br /> d dress es &-�� <br /> hone (t[jL,) Contact P-r r5 p-1 N <br /> ipereby certify that the abov@ named material is consistent with the information presented in the Waste Characterization Form <br /> Frd Contaminated Soil D cription For ,and has been properly described,classified and packaged,and Is in proper condition <br /> transpo a ordmg {o a plicable r ulatio s' - <br />�ame C.� Date <br /> festination Forward, Inc <br /> 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 <br />' Received by r <br /> /Date <br />�ceptance No vy _ 1 -7 0' <br />-his load contains soil with <br /> less than 100 ppm <br /> greater than 100 ppm <br /> Y OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR I <br /> Y ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE (209)982-4298 LANDFILL DELIVERIES <br /> BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> rds Per this Load __ <br /> TRANSPORTER COPY <br />