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FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 00444 <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: 5388 E. Sectign, Stockton. CA 95205 <br /> Phone: ( 209 } 464____ - 2601 _-_Contact: Geor Cardoza <br /> I hereby certify that the bove nameq mater'al was picked up at the generator site listed above. <br /> Driver Signature: <br /> Shipment Date- S-Z� <br /> F <br /> Truck No.: 305-- Load No.: <br /> Vehicle License No./State: 1 /f Z 72 /r. /` 41 2 '>12 <br /> Consultant/Contractor: W13311am H1133tes-gsoc_ <br /> Address: F <br /> Phone: ( 916 } 972 - 7941 Contact: _Dennis_Allan______ <br /> 1 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 regulations. <br /> Name: N.1A _.. ,._ Date: N/A <br /> f <br /> Destination: Forward, Inc. y <br /> 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 / r <br /> Received by: <br /> Date: - �^ <br /> Acceptance No.: 22 - 168 <br /> This load contains soil with: <br /> X less than 100 ppm greater than 100 ppm <br /> f <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 /> RECEIvE� ,` i992 <br /> TRANSPORTER COPY <br />