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' ®- Recycled Paper .i <br /> f: <br /> FORWARD, INC.. . NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> A k _ 4588• <br /> Generator: ' <br /> Address: 2911 E . FREMONT AVE . <br /> Phone:.( 209) 948 _ 9500 Contact: , ' 4 <br /> Transporter: RICH- HAMILTON- TRUCKTU <br /> Address: 1336 PAULIr#E' AIdE . <br /> Phone: ( 2 0 9) 578 4100 Contact:. <br /> I hereby certify that the above gjamedate aal was picked up at the generator site listed above. <br /> 1 / <br /> Driver Signature: tiL7r' <br /> Shipment Date:. j 93. - <br /> Truck No.: :Load No.: . 01 <br /> Vehicle License No./State:_������— � /CA - <br /> Consultant/Contractor: 141t 11T 1 I - <br /> Address: n 0 PDX 6721 N'fODESTO , CA 95350' - <br /> Phone. ( 209 ) 579- 8136 Contact: STEVE' FURNAS _. <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. =r: <br /> Name: 2 .P _ Date: <br /> Destination: Forward, Inc. <br /> 9999 South Austin Road NA §a, Cania 95336 <br /> (209) 982-4298 , / <br /> Received by: <br /> Date: v <br /> Acceptance No.: . 92 _ 261 <br /> This load contains soil with: <br /> .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 BESCHEDULED AT LEAST-24 HOURS.IN ADVANCE: (209)982-4298 LANDFILL.DELIVERiES <br /> MUST BE SCHEDULED ON A/DAILY BASIS. ANY UNSCHEDULED-L'OADS.MAY BE REFUSED AT THE GATE. <br /> Yards Per this Load: <br /> WHITE-FACILITY COPY ' YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />