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Recycled Asper <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 5364 <br /> (gator <br /> Z Aad r s U c C_ 7rJ <br /> Phon Contact <br /> Transporter "-'� I <br /> Address ? <br /> Phone (Zo�) - G� �-Contact -- <br /> I hereby certify that the above wed maters picked up age rerator site listed above <br /> Driver Signature <br /> Shipment Date '" - / •• __ <br /> Truck No - Load No <br /> Vehicle License No/State <br /> Consultant/Contractor ' <br /> 1cm 7T_ <br /> Address - I Aj L A Ta TG <br /> Phone 9301-/ Contact 1e D'c02-- <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> and Contaminated Soil Description Form,and has been property described,classified and packaged,and Is in proper condition <br /> for transport according to applicable reg,ulaVons <br /> Name Date <br /> Destination Forward, Inc <br /> 9999 South Austro Roa anteca, California 95336 <br /> (209) 982-4298 / <br /> Received by - <br /> Date J f <br /> Acceptance No <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 `J <br /> WHITE-FACILITY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />