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FORWARD, INC. NON-HAZARdOUS WASTE DRIVER IDENTIFICATION FORM <br /> 00437 <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. Section Stockton CA 95205 <br /> Phone: ( 209) 464 _ 2601 Contact: George Cardoza <br /> I hereby certify that th ve named material was picked up at the generator site listed above. <br /> 1 <br /> Driver Signature: <br /> Shipment Date: <br /> Truck No.: J �Z Load No.: <br /> Vehicle License No./State: ZQ- J_v_. 76 j �� <br /> s <br /> Consultant/Contractor: William Hunter Assoc. <br /> Address: 2220 Loma Vista Drive Sacramento,- CA <br /> Phone: ( 916) 972 7941 Contact: Dennis Allen <br /> } <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: 391A Date: N/A <br /> i <br /> Destination: Forward, Inc. <br /> 9999 South Austin R ad, Mantec , California 95336 <br /> (209) 982-4298 ' <br /> Received b <br /> Date: <br /> Acceptance No.: 92 _ 168 <br /> Thilad contains soil with: <br /> 4 <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: os <br /> TRA NSPORTFR copy RECEIVED HAY 1 5 1992 <br />