Laserfiche WebLink
1 <br /> k0RWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> enerator: Time 'Oil Co. <br /> Address: 13475 N. Jack Tone Road <br /> ;:Phone: ( 206)_285 --2400 ; Contact: Anastasia E. Duarte <br /> Transporter: s Trucking, ' <br /> Address: 8896 Flder CrPek Road. Sacramento, CA 95828 a <br /> ;k Phone: ( 91{i ) 381 -_ 6864 ',Contact: Mr. Tim Manley <br /> I hereby certify that the 'above named material was picked up at the <br /> ,j generator site listed above. <br /> Driver Signature: <br /> Shipment Date: _ <br /> Truck No. : - Load No. i <br /> Vehicle License No. /State: 2. Le=. / Gl Cl <br /> Consultant/Contractor: Canonie Environmental <br /> Address: 7yn1 a _nneridae Drive,_ Suite 100. Pleasanton, CA <br /> Phone: (415)_463_-_9117 ; Contact: David Poole <br /> I hereby certify that the above named material is consistent with <br /> the information presented in the Waste Characterization Form ,.and <br /> i <br /> Contaminated Soil Description Form and has been properly <br /> described, classified and packaged, and is in proper condition for <br /> transport according to applicable regulations. <br /> Name: %-1�., -L �� 7rl '� `��r•�., � / M._� c :l Date: March 27, 1992 <br /> Destination: Forward, Inc. <br /> 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 <br /> Received by: <br /> Acceptance No. : —92_-_174 h <br /> This load contains soil with: <br /> -XXXXXX- less than 100 ppm greater than 100 ppm <br /> 4 <br /> A COPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE <br /> SUBMITTED AT THE GATE FOR ENTRY. ALL LOADS MUST BE SCHEDULED AT <br /> LEAST 24 HOURS IN ADVANCE: (209) 982-4298 LANDFILL DELIVERIES MUST <br /> Y BE SCHEDULED ON A DAILY BASIS. ANY UNSCHEDULED LOADS MAY. BE <br /> REFUSED AT THE GATE. ,. <br /> Yards Per this Load: 18 Cubic Yards <br /> f i <br />