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Recycied Paper 1"W <br /> j <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 4745 <br /> Generator: A 8 A TOOL RENTAL <br /> Address: 2911 E . FREMONT AVE . STOCKTON CA 9 <br /> Phone: ( 209 948 - 9500 Contact: PAT DORAN <br /> Transporter: RICH HAMILTON TRUCKING <br /> Address: 1336 PAULINE_AVE . MODESTO , CA 95351 -- <br /> Phone: ( 209) 578 _ 4100 Contact: SCOTT MELLOR <br /> I hereby certify that the above named material was picked up at the generator site listed above. <br /> Driver Signature: <br /> Shipment Date: <br /> Truck No.: _990 Load No.: 06 <br /> Vehicle License No./State: 91A5M?__n_ /C A <br /> Consultant/Contractor: IMF ENVIRONMENTAL i <br /> Address: P . O . BOX 6729 MODESTO , CA 95350 <br /> Phone: ( 209) 579 - 8138 Contact: STEVE FURtJAS <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: .ta'b� fS ��� Date: ` 9 <br /> Destination: Forward, Inc. <br /> 9999 South Austin Ro anteca, alifornia 95336 <br /> (209) 982-4298 <br /> Received by: <br /> Date: f -� <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: A5— <br />