Laserfiche WebLink
FFORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 00441 <br /> Generator: panella Trucking, Inc. <br /> Address: 5000 or 2150 E. Fremont Street <br /> Phone: ( 209) 943 - 5000 Contact: _—.Roger_Scriven <br /> Transporter: George Cardoza Trucking <br /> Address: 5358 E. Section Stockton CA 205 <br /> Phone: ( 209) 464 2601 Contact: George Cardoza <br /> I hereby certify that Ve above named material was picked up at the generator site listed above. <br /> Driver Signature: ` !� I <br /> Shipment Date: <br /> Truck No.: ?i% Load No.: <br /> Vehiple License No./State: `- Z 6% Z c A Z-- <br /> Consultant/Contractor: Will-iam llun er Aasoc <br /> Address: 2220 Loma MiSta Drive, Sacramento. <br /> Phone: ( 916) 272 -- 7941 Contact: Dennis A1.1en _— <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> and Contaminated Soil Description Form,and has been properly described,classified and packaged,and is in proper condition <br /> for transport according to applicable regulaytions. <br /> Name: NIA Date: _ N/A <br /> Destination: Forward, Inc... <br /> 9999 South Austin Road, anteca, California 95336 <br /> (209) 982-4298 <br /> Received by: <br /> Date: <br /> Acceptance No.: 92 - 168 <br /> This load contains soil with: <br /> X less than 100 ppm greater than 100 ppm <br /> A COPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> ENTRY.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: �1 g <br /> RECEIVED MAY i 5 19g <br /> TRANSPORTER COPY <br />