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T _r1F _31C � <br /> Recycled Paper <br /> I <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM f <br /> 5343 <br />' Generator <br /> AJ <br /> Address U <br /> Ro Phone (���) 9 _ ContactEli <br /> J,et i9 <br /> i <br /> Transporter <br /> Address tt Phone (Zoe) _�- Contact U <br />' I hereby certify that the above named material was picked up�kpl*lenerator site listed above <br /> Driver Signature _ <br />' - <br /> Shipment Date <br /> Truck No Load No l <br /> Vehicle License No/State <br /> 1 <br /> Consultant/Contractor TO <br /> Address 'AIIA)6 <br />' Phone (70�) - <br /> Contact s ' / 12") <br /> 1 hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> and Contaminated Sral Description Form,and has been properly described,classified and packaged,and is in proper condition <br />' for transport acca ng to applicable regulations <br /> f Date 3 <br /> Name <br /> Destination Forward, Inc <br /> 9999 South Austin Road eca, Cal�ornia 95336 <br />' (249) 982-4298 <br /> Received by _ <br /> Date "c C <br /> Acceptance No - <br />' This load contains soil with <br /> less than 100 ppm greater than 190 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-FACIUTY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />