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f Recycled pltper <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 5369 <br /> ' Generator 5 <br /> I Address C) C icIr <br /> Phone (W / ) - S Contact <br /> Transporter �' ►L <br /> Address ,,`` � <br /> Phone (� !!7 ) � - [� t��LUontact "rL <br /> q <br /> I hereby certify tha the above named material was picked up at ttpe, Bator site listed above <br /> Driver Signature <br /> Shipment Date - <br /> Truck No Load No <br /> Vehicle License No/State <br /> Consultant/Contractor 'J <br /> Address I&J ,4 <br /> Phone (Z1}}) �S 1 - _Contact <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> and Contaminated9all'Descriptlon Form,and has been property described,classified and packaged,and is In proper condition <br /> for transport accor¢fpg to applicable regulations <br /> r <br /> Name Date <br /> 3 - Z- <br /> � Jf <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 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 /> WHITE-FACILITY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />