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� t <br /> Recycled Paper <br /> FORWAQD, INC. ' NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> IF5372 <br />' Generator <br /> Address a <br /> Phone <br /> Contact A <br /> r <br /> Transporter <br /> Address c' �+ <br /> Phone - -�Z/_. - T4 RSntact <br />' I hereby certify that the above named material was picked up at the generator site listed above <br /> Driver Signature <br /> Shipment Date - <br /> T4uck No Load No <br /> Vehicle License No/State <br /> Consultant/Contractor <br /> Address <br /> Phone (2p3 F) -- - 9"�o Contact <br /> I hereby certify that thq above named material is consistent with the information presented in the Waste Characterization Form <br /> and Contaminated-$oil[description Form,and has been properly described,classified and packaged,and is in proper condition <br /> for trans ort accord g to applicable regcrf tions <br /> Date <br /> ate <br /> Destination Forward, Inc <br /> 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 1% <br /> Received by <br /> Date <br /> Acceptance No - <br />' This load contains soil with <br /> less than 100 ppm greater than 100 ppm <br /> i 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 /> W141TE-FACILITY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />