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s <br /> FORWARD, INC. NON-HAZARDOUS WASTE .DRIVER I&ENTIFICATION FORM <br /> MAY 2 6 1992 00430 <br /> Generator: Panella Trucking,_ Inc. tNVIRONNIENTAL WEALTH <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 the above named material was picked up at the generator site listed above. <br /> I <br /> Driver Signature: <br /> Shipment Date: <br /> Truck No.: a` Load No.: <br /> I <br /> Vehicle License No./State: <br /> Consultant/Contractor: __klJ 1 1 i am Hunter Assoc. <br /> Address: - 2220 Loma Vista Drive, Sacramento, CA <br /> Phone: ( 916) _-___972 - _ 7943 Contact: Dennis Alien <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: -- N/A— - - - ---- - - __- _ Date: N/A <br /> f <br /> Destination: Forward, Inc. <br /> 9999 South Austin Road, Mant ca, Califor is 95336 <br /> (209) 982-4298 y ` <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: ) 2 -,as <br /> RECEIVED i'lAY .I i 1992 <br /> TRANSPORTER COPY <br />