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Recycled Paper <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 4716 <br /> Generator: A & A TOOL RENTAL` <br /> Address: 2911 E . FREMONT AVE . STOCKTON CA <br /> Phone: ( 205) 948 _ 9500 Contact: PAT DORAN <br /> Transporter: T TRUCKING <br /> Address: PAL11 INIFAVEMODESTO CA 95351 <br /> Phone: ( 209 )' 578 - 41r'0.____ Contact: SCOTT MELLOR <br /> I hereby certify that the above named material as picked up at t p generator ite listed above. <br /> Driver Signature: <br /> Ole 1� <br /> Shipment Date: -7 <br /> Truck No.: Load No.: <br /> Vehicle License No./State: �I L L t � 2 /C A - <br /> Consultant/Contractor. w-,yc E€ VIRON IENTA.L <br /> Address: P . C . BOY, 6729 MODEST0 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 propercondition <br /> for transport according to appli able regulations. f <br /> Name: <br /> ZRI Date: <br /> Destination: Forward, Inc. <br /> 9999 South Austin Road anteca, California 95336 <br /> (209) 982-4298 / <br /> Received by: <br /> Date: Z <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)962-4298 LANDFILL DELIVERIES <br /> MUST BE SCHEDULED ON A DAILY BASIS. ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE. <br /> lard!;'Ptr this Load: <br /> WHITE-FACILITY COPY YELLOW-TRANSPORTER COPY PINK-GFNF_RATOR COPY <br /> Y <br />