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® 7-F3 - 303 A <br /> Recycled Paper <br /> I t l i I <br /> FORWARD, INC. 'NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 5342 <br /> Generator r L�RIAJA <br /> 1 <br /> Address G r <br /> Phone (Zjg ) Contact <br /> Transporter r <br /> Address 15-33 S 7Z,C 41 �T. � r_� <br /> Phone (zO9 ) �G` - TZ ^ Contact <br /> I hereby certify that the above named material was picked upAA-H�6enerator site listed above <br /> Driver Signature <br /> Shipment Date – <br /> Truck No Loa No�� — <br /> Vehicle License No/State <br /> if <br /> Consultant/Contractor ''` "J g J O <br /> Address / T , <br /> Phone (?C?) �� - C 7 Contact <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 properly described,classified and packaged,and Is in proper condition <br /> for transport according to applicable regulabpns <br /> Name _ Date <br /> Destination Forward, Inc <br /> 9999 South Austin Road, M ca, C ifornia 95336 <br /> I (209) 982-4298 J l <br /> Received by t <br /> I <br /> Date <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 /• -- -- <br /> WHFrE-FACILITY COPY YELLOW-TRANSPOWER COPY PINK-GENERATOR COPY <br />