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• Recycled Paper <br /> r jRWARD, INC. NON -HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 03052 <br /> Generatoru�-��`"i �-�T # t L;3 <br />' Address TU F?A: ,L If U S�rZ a=y- <br /> ; <br /> Phone Contact V c`-T, <br /> Transporter <br />'Addresses <br /> Phone (��r�_) - �' "f Contact E=-1-7 f`'L`�{=� - <br />�I hergby certify that the above _ erial was picked up at the generator site listed above <br /> Driver Signature <br /> thipment Date <br /> ruck No Load No <br /> Vehicle License No/State <br /> �42 57 <br /> sultant/Contractor -P-1NCS <br /> dress RG' 1'r -"C l <br /> hone IL,) � _ 2 i-� � Contact <br /> hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form ? <br /> and Contami ted Soft QB\rlption Form,and has been properly described,classified and packaged,and is in proper condition <br />�or transpo acPg <br /> o a piicabl gula Ons <br /> r ' <br /> Name <br /> Date <br /> I <br /> Destination Forward, Inc j <br /> 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 tt } <br /> Received by '� � ► <br /> Date -- <br /> Acceptance No _ 1-7 <br />[his load contains soil with - <br /> I <br /> �-- less than 100 ppm <br /> greater than 100 ppm <br /> PY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> sY ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE (209)982-4298 LANDFILL DELIVERIES <br /> BE SCHEDULED ON��AJJDAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> lards Per this Load �`F� <br /> TRANSPORTER COPY <br />