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9 Recycled Paper ` <br /> 'Aft FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 953 <br /> Generator _-'A� I�- � L. <br />' Address % r (? 1 0 <br /> Phone ( ? Contact '- � +� <br /> Transporter <br /> Address �G1rc � 7 �iLa <br /> Phone (CML-1 �_ - 19�LContact 1—D )a` '`"t✓1 `-� <br /> I hereby certify that the above namgd- at n D as picked up at the generator site listed above <br /> Driver Signature <br />' Shipment Date <br /> Truck No Load Na ,23 <br /> Vehicle License No/State•-- <br /> w <br /> d _ <br /> 10_.sultant/Contractor <br /> Address rC7 �Q�--� Q� <br />' Phone (� �d - �� 1 Contact �N <br /> -1 hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> and Conta aced Soil escrlptfon orm,an has been properly described,classified and packaged,and is In proper condition <br /> for transp �rt ccordlg applica regula i <br /> l <br /> Name Ll Cj "Y <br /> Date <br /> Destination Forward, Inc - <br /> 9999 SootR Austro 0oad, Manteca, California 95336 { <br /> (209) 982-4298 ` <br /> Received by -� - <br /> Date t �" <br /> Acceptance No _ 4' <br /> This load contains soil with <br /> t:r�� less than 100 ppm greater than 100 ppm <br /> DPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> RY 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 />— --` --- AN$PORTER 4;O.PY, _ <br />