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:=FORWARD, IMS. NON-HAZA6DOUS WASTE DRIVER IDENTIFICATION'FORM <br /> 00146 <br /> Generator: k <br /> Address: <br /> Phone: o act: <br /> Transporter- a ! 'eF a i <br /> Address: '" 9 S� ` . <br /> i <br /> Phone: (S/a } - 2 L 5!'- �Contact:f r <br /> I hereby certify that the"amedmatepicked up at the enerator site listed above. <br /> Driver-Signature: <br /> Shipment Date: <br /> Truck Nb.: <br /> Load;No.: <br /> Vehicle License No./State: <br /> Consultant/Co <br /> ntractor: <br /> Address: <br /> Phone: (747) Contact. <br /> I hereby certify thatthe above named material is consistent with the information presented in the Waste.Characterization Form <br /> and Contaminated Soil.Description.Form,and has been properlydescribed,classified and packaged,and is inproper condition <br /> for transport ac ing applicajole.regolations, <br /> Name: Date: <br /> I <br /> in tion: F ard, Inc. <br /> .9999'-South Austin Road, ,. ca, G ifomia 95336 <br /> (zo9j982-429$ <br /> Received"by <br /> Acceptance No.: .7777 <br /> / <br /> This load contains soil with: <br />{ less thasi 100.ppm reater than-100'ppm <br /> A-COPY- SHEET MUST ACCOMPANY EVERY WASTE'LOAD, AND-MUST BE SUBMI�ED AT THE GATE FOR <br /> ENTRY.ALLOADSMUST B>"SQHEDULED ATLEAST 24`.H URS IN ADVKNCE: {209)=�82-4298=LANDFILL DELtUERIES <br /> MUST BE SCHEDULED-40N A DAILY.BASIS ANY UNSCHEDUL•ED'LOADS.MAY°BE:'9EFUSED AT THE`GATE. <br /> Yards Perthis Load: F <br /> ia. <br />