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Recycled Paper <br /> k FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> I <br /> 5371 <br /> Generator <br />' o J ,J <br /> Address <br /> Phone ( zp7) L - Contact A�tP <br /> f r <br /> Transporter(-z-0) - <br />' Address ��//,, ..,, 77n .S-T Lo ' <br /> Phone ( �) _ 1¢1� - 9//, L !; �ontact <br />' I hereby certify that thea ove namec�materiai vasr picked up at the generator site listed above <br /> Driver Signature <br />' Shipment Date 7 ? <br /> Truck No Load No <br />' Vehicle License No/State �i <br /> Consultant/Contractor .JST�edCT a� <br /> Address <br /> Phone tzc)5 ) - —!2304/—Contact <br /> A 'ems ec�b'E� <br />' I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Forr <br /> and Contaminated Soil Dowiption Form,and has been properly described,classified and packaged,and is in proper condition <br /> for transport accordtn t6 applicable regulad-b-ps' <br /> Name / Date <br /> Destination Forward, Inc <br />' 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 ! ` <br /> Received by <br /> Date <br /> Acceptance No - <br />' This load contains soil with <br /> less than 100 ppm greater than 100 ppn <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 OELIVERIE' <br /> MUST BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> � r <br /> Yards Per this Load <br /> WHITE-FACILITY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br /> 1 <br />