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FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 00442 <br /> Generator: Panella Trucking, Inc. <br /> Address: 5000 or 2i50 F. Fremont Street <br /> Phone: ( 209) 943 - 5000 Contact: Roger 5criven <br /> Transporter: George Cardoza Truckin <br /> Address: 5388E Section, Stockton, CA 95205 <br /> Phone: ( 209) A64- - 2601 Contact: George Cardoza <br /> I hereby certify that the abinve named material was pick e up at the generator site listed above. <br /> Driver Signature: <br /> Shipment Date: -` <br /> Truck No.: �a�� _ Load No.: <br /> •,Vepicle License No./State: <br /> Consultant/Contractor:. William Hunter Assoc. <br /> Address: 2220 Loma Vista Drive, Sacramento, CA <br /> Phone: ( 916) 972 - 7941 Contact: Dennis Allen <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 Farm,and has been properly described,classified and packaged,and is in proper condition <br /> for transport according to applicable regulations. <br /> Name: _ NIA _ _ Date: NIA <br /> Destination: Forward, Inc. <br /> 9999 South Austin Road Manteca, California 95336 <br /> (209) 982-4298 r <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: <br /> TRAN44PORTFR COPY RFLF—I Y E Imo' "t',y ���� <br />