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�' ®+ Recycled Paper <br /> . � t <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER.IDENTIFICATION FORMJJ <br /> 4 712 <br /> Generator: A F. A TOOL nEPJTAL` <br /> Address: 2.911 E . . FREM0tvT A\1E . :-STOCKTO:FJ <br /> Phone-. ( 209) 948 - 9500 . Contact: PATiDQ13APJ <br /> Transporter: I r <br /> Address: 13 <br /> }, I _AIlE . M[]DESTf? CA n50 1 <br /> Phone: ( 209) 57_`3 - 4100 ~Contact: S6CQTT MFLLQR <br /> I hereby certify that the above named material was picked up at he generato site listed above. <br /> Driver Signature: <br /> lam . t <br /> Shipment Date: <br /> Truck No.: .� 4 LoadNo.: ." 12 .' <br /> Vehicle License No./State: L- L CA <br /> Consultant/Contractor:' WHF E[dVSRONMENTA.,L p' <br /> Address: P . O . 80X. 6729 . MODESTO CA 95350 <br /> Phone: ( 209) 575 W 8138 Contact: 5TEV-ET FLlRNAS <br /> I hereby.certify that the above named material is consistent with:the 4information presented in the Waste Characterization,Formx <br /> and Contaminated Soil Description Form,and has been properly described;classified and packaged,and isin proper condition <br /> for transport according to appli able regulations: - <br /> Name: 12 Dater �. <br /> Destination:' Forward, Inc. <br /> 9999 South Austin Road , teca, alifornia 9533fi <br /> (209) 982-4298 <br /> Received by: <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 />