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i <br /> 1 <br /> 'Recycled Paper,. <br /> - <br /> f <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 4703 - <br /> Generator: A E. A. T00L RENTAL <br /> Address: 2911 E . FREMONTZAVE . ST0QKT0..N1 - CA 9- <br /> Phone: ( 209) 948 - 9500 Contact_ PAT OORAN <br /> Transporter: RICH 'HAMILTON .TRUCKING- <br /> 1336 ..P.AI.ILINE AVE . {' MCDESTO 'CA 95351 <br /> Address: <br /> Phone: ( 209) 5783 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.: No.: 04 <br /> Vehicle License No./State` Y-6,52 12n -/CA <br /> -. <br /> Consultant/Contractor: WHF ENVIRONMENTAL »- <br /> A <br /> f- Address: P . O . BOX 6729 MODESTO -CA 95350 <br /> Phone:.( 209) 579 8138 :Contact:,'°-ST EV.E 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. <br /> Name: Date: <br /> q3 <br /> Destination: Forward, Inc. <br /> `9999 South Austin Road, Ma ca, California 95336 <br /> (209) 982=4298 ' <br /> Received by: �-�' �`- ✓ <br /> Date: <br /> Acceptance No.: 92 _ 261 <br /> This load contains soil with': <br /> less than 100 <br /> ppm greater than 100 ppm <br /> K <br /> A COPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> ENTRY.ALLLOADS MUST BE SCHEDULED AT LEAST24 HOURS IN ADVANCE.- (209)982-4298 LANDFILL DELIVERIES <br /> MUST BE SCHEDULED ON A DAILY BASIS. ANY UNSCHEDULED LOADS MAYBE REFUSED AT THE.GATE. <br /> Yards Per this Load: —i� <br /> wN1TF:F8CI1 1Tv Rr1PV VF1 1 nub_TAA IJeanordo PYIOV P1hl1l.n-c KICOAWND!l1aV <br />