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I <br /> IFFORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION * ' <br /> FO <br /> RM � <br /> I <br /> Generator: Time Oil Co. <br /> Address: 23475 N. Jack Tone Road <br /> Phone: ( 206)_285_-_2400_1 Contact: Anastasia E. Duarte I <br /> Transporter: ns Trucking, Inc. <br /> Address: a ramento CA 95828 <br /> Phone: ( 916 ) 381 6854 , Contact: M r. T i m Manley <br /> 2 hereby certify that the above named material was picked up `gat the <br /> I <br /> generator site listed above. <br /> Driver Signatu (��v <br /> Shipment Date: - <br /> Truck No. : - Load No. <br /> Vehicle License No. /State: 1� 5 _ <br /> Consultant/Contractor: .Canonie Environmental E <br /> Address: P1 asanton EA <br /> Phone: (415)_4 63_-_9117 ; Contact: David Pople <br /> I hereby certify thatthe above named material is consistent with <br /> the information presented in the Waste Characterization Form and <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: fl �_ ;A' :16 lr� ,Clr i r;} Date: March 27 1992 <br /> '; -- „-� <br /> Destination: Forward, Inc. <br /> 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 1 % <br /> Received by: <br /> Date: <br /> Acceptance No. : 92 - - 174 <br /> ' This load contains soil: with: <br /> := -XXXXXX- less than 100 ppm greater than 100 ppm <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 z <br /> LEAST 24 HOURS IN ADVANCE: (209) 982-4298 LANDFILL DELIVERIES MUST <br /> BE SCHEDULED ON A DAILY BASIS. ANY UNSCHEDULED LOADS MAY BE <br /> REFUSED AT THE GATE. <br /> Yards Per this Load: 18 Cubic Yards F <br />