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Recycled Paper <br /> i � - <br /> FORWAHD ,NC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> i 636 r <br /> iGenerator ' <br /> Address Zo 7. 30 r I <br /> Phone , - _ -5--T / Sr Contact <br /> i <br /> iTransporter --- <br /> Address �' -, ' <br /> i Phone (� ) - �7itact <br /> r <br /> I hereby certify that the aablve name arl maternal was picked up at the generator site listed above <br /> Driver Signature <br /> Shipment Date <br /> ETruck No q f5 �r =--- Load No <br /> Vehicle License No /State `� 3 v 7 - — <br /> i <br /> nsultant/Contractor 101 <br /> dress A <br /> Phone (�`�) � - !� � Contact <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization For <br /> and Contaminated Soli Description Form,and has been properly described,classified and packaged,and is in draper condltic <br /> for transport aceawding to appllcabfg regulations <br /> Name aZff J Date -3 – Z- g <br /> r <br /> Destination Forward, Inc <br />' 9999 South Austin R ad, Manteca, California 95336 <br /> (209) 982-4298 <br /> Received by <br /> Date <br /> Acceptance No - <br /> iThis load contains soil with <br /> _ less than 100 ppm greater than 100 ppi <br /> *OPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT TilE GATE F0 <br /> TRY ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE (209)982-4298 LANDFILL DELIVERIE <br />' MUST BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> Yards Per this Load <br /> fWHITE-FACILITY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />