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' Recycled Paper_ <br /> �FORWAAD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 7) 3049 <br /> Generator <br />' Address 1'c.� P. I i I c) 6Tc:1G <br /> Phone (Zcj�) _ _ � _ Contact 11 <br /> 1 <br /> Transporter <br />' Address - 3 ,� �1 <br /> Phone (9((--,) Lk:!L- - -0 " Contact <br />' I hereby certify that the above named material was picked up at the generator site listed above <br /> Driver Signature <br /> Shipment Date (-0 � <br /> Truck No Load No - <br /> Vehicle License No/State 1� e%'U' <br /> suitanVContractor <br /> Address -Pu <br /> Phone ( "f/U �� - - �� �1 Contact Pe 11 <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> and Contam)nated Soil D scription Form,and hs been properly described,classified and packaged,and is in proper condition <br /> for transpoft acordin �o pplicable gulaU ns <br /> Name - - <br /> Date <br /> Destination Forward, Inc <br /> 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 // <br /> Received byr 54 <br /> � <br /> Date G! <br />, Acceptance No - -2- - 1- <br /> This load contains soil with <br /> t " less than 100 ppm greater than 100 ppm <br /> I -)PY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br />�IRY 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 -. <br /> TRANSPORTER COPY <br /> ' - I <br />