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® Recycled POPar <br /> u <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 5347 <br /> Generator A s <br />' Address U rf <br /> Phone -Contact �ryt0 <br /> Transporter <br /> /S? 77 <br /> Address ` 1 <br /> Phone (ZD J) — 7 _ 91 y r Contact <br />' I hereby certify that the above named material was picked up?"dAerator site listed above <br /> 4 <br /> Driver Signature <br />' Shipme-ht Date <br /> Truck No Load No <br /> Vehicle License No/State <br /> Consultant/Contractor <br /> Address <br /> Phone _-25-7-- _ G Contact —�*�A <br />' <br /> f hereby certify that the above named material is consistent with the Information presented in the Waste Characterization Forn <br /> and Contaminated Soil Description Form,and has been properly described,classified and packaged,and is in properconditior <br /> for transport accog to applicable regal tions <br /> -;7 <br /> / D <br /> Name ate <br /> 1 - <br /> Destination Forward. Inc <br /> 9999 South Austin Ro anteca, California 95336 <br /> (209) 982-4298 <br /> Received by <br /> Date <br /> — <br /> 7 <br /> Acceptance No �.--- - � 3 <br /> /t <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 DE41VERIE` <br /> MUST BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br />' Yards Per this Load r — <br /> WHITE-FACILITY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />