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Recycled Paper <br /> r <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 4706 <br /> Generator: A & A TOOL RENTAL <br /> Address: 2911 E . FROMONT AVE . STOCKTON CA <br /> Phone. ( 209) 948 - 0500 Contact: PAT DORAN <br /> Transporter: I ,I <br /> Address: IE A'%/F . r 25351 <br /> Phone: ( 2 0 9 ) 5 7 P - 41 L10 Contact: SCOTT MELLOR <br /> I hereby certify that the above named materjjal/,,was picked up at the generator site listed above. <br /> Driver Signature:. _.._..----- <br /> Shipment Date: <br /> Truck No.: c`� , <br /> . ...—_.—. Load Na: 07 <br /> Vehicle License No./State: _I>c11,S ! 1-K/ /CA <br /> Consultant/Contractor: 14HF ENS ?S- �+EP+TAI <br /> Address: P . O . BOX 6729 1dIQDEST0 , CA _ -95350 _ <br /> Phone: ( 209 ) 579 _ 813S 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 Farm,and has been properly described,classified and packaged,and is in propercondition <br /> for transport according to pplicable regulations. <br /> Name: Date: <br /> Destination: Forward, Inc. <br /> 9999 South Austin Road,�rtteca Calif' rnia 95336 <br /> (209) 982-4298 % <br /> Received by: ,` <br /> v <br /> Date:—..... <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 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 /> WHITE-FACILITY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />