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FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 00445 <br /> Generator: Panella Trucking, Inc. <br /> Address: 5000 or 2150 E. Fremont Street <br /> Phone: ( 249) 943 - 5000 Contact: Ro er• Scriven <br /> Transporter: George Cardoza Trucking <br /> Address: 5388 E. Section Stockton CA 95205 <br /> Phone: ( 209) 464 - 2601 Contact: Geor e Cardoza <br /> I hereby certify that the a named material was picked up at the generator site listed above. <br /> Driver Signature: <br /> Shipment Date: <br /> Truck No.: Load No.: 1 <br /> Vehicle License No./State: _ S�`7 4 --+,(2 l UA- I(/ <br /> Consultant/Contractor: William H nter Assoc. <br /> Address: 2220- Loma Vista Drive Sacramento CA <br /> Phone: ( 315) 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 Form,and has been properly described,classified and packaged,and is in proper condition <br /> for transport according to applicable regulations. <br /> Name: NIA _ Date: N/A <br /> Destination: Forward, Inc. <br /> 9999 South Austirr Road, Manteca, California 95336 <br /> (209) 982-4298 ti <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: I S_?, � 1/4 <br /> RECEIVED I''iAY 1 5 1992 <br /> TRANSPORTER COPY <br />