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Recycled Paper <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 5360 <br /> Address f <br /> /G ne erator . �_. JE PA s ,C46-JA-SP _ <br />' � _3C. f. ,Gl1=!C �I J C,t�T"U , �� _ <br /> Phone (203 _ -�Sl, Contact K�� -1�._ – �r, � r – <br /> Transporter A1,2_ llac r <br />' Address .. —1:�: 3 J- <br /> i <br /> Phone (745>f ) 1 - -- � d Contact �y " <br />' I hereby certify that them d aterial was p cked u7 rdhgenerator site listed above <br /> 7 <br /> Driver Signature <br />' Shipment Date '� r =' <br /> Truck No Load No <br />' Vehicle License No/State <br /> Consultant/Contractor T.0 CT id <br /> Address 4 <br /> Phone { •c) ;��/ _ 5' ?r_,CZ Contact .� - �Jar <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Forn <br /> and Contaminated Soil Description Form,and has been properly described,classified and packaged,and,s <br /> ndis in proper conditioi <br /> for transport according to applicable regulations <br /> Name - 1 `� -- 1I �� —�„� <br /> .� Date <br /> Destination Forward, Inc <br /> 9999 South Austin Road, , California 95336 <br /> (209) 982-4298 <br /> Received by <br /> -� � <br /> Date -_ - - <br /> Acceptance No <br /> This load contains soil with <br /> less than 100 ppm greater than 100 ppr <br /> A COPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD AND MUST BE SUBMITTED AT THE GATE FOF <br /> ENTRY ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE (209)982-4298 LANDFILL DELIVERIE' <br /> MUST BE SCHEDULED ON ADAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE/ <br /> Yards Per this Load r C-) <br /> WHITE-FACILITY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />