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Recycled Paper <br /> AWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> r 0305+ <br /> m <br /> :_Alp pILI LA <br />' - y irator <br /> ,ress -- . <br /> r� <br /> gone ( -� � - J7 Contact '�-'+J ' <br /> ' �k <br /> 0 <br /> Transporter <br /> Address -F*' `'> f;;i! ��f-�- <br /> Phone (9!7f 1 L) L-65 - '9 {G Contact 3=> fit` <br />' I herebycertify that the above named material was picked u at the generator site listed above <br /> Y P p <br />' Driver Signature ------ <br /> Shipment Date - Z <br /> Truck No 471 _. _ Load No _Z .— <br /> Vehicle License No/State --- <br /> 60�ultant/Contractor <br /> �3p TSV tR-�"Nt- <br /> Address _ r,k--� ZU$ #'�"1--c C•1'� Ci�'tr:,,'�,aQ -- - - - -- <br /> Phone (,I llo) - _ Contact <br />' I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Farr <br /> and Contaminated Soil Description Form and haeen properly described,classified and packaged,and is in proper conditioi <br /> for transport ac rdin to p licable re lation <br /> Name Date <br /> SDestination Forward, Inc <br /> 9999 South Austin Road, Manteca, California 95336 <br />' (209) 982-4298 1 <br /> Received by <br /> Date - a `�� �►" <br /> Acceptance No l - r This load contains soil with <br />' less than 100 ppm greater than 100 ppn <br /> ,IDA SPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOI <br /> ENTRY ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE (209)982»4298 LANDFILL DELIVER IE, <br /> MUST BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> Yards Per this Load I li� - <br /> 1 <br /> TRANSPORTER COPY <br />