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Rgcycled Paper <br /> e <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> A <br /> 5140 <br /> enerator CA P.A _6 0 <br /> Address O L -�-0 <br /> Phone (Zej) �6 — - s Contact rid A A) <br /> Transporter A2- / <br /> Address <br /> Phone (2yg) 9 -Contact <br /> 1 hereby certify that the above nad material was picked up ache 4efierator site listed above <br />[ Driver Signature 71 <br /> Shipment Date <br /> Truck No � Load No <br /> Vehicle License No /State { ` <br /> nsu ltant/Co n tractor =1j6 <br /> dress 7 <br /> Phone (Zp�} 9s1 - Contact ` <br /> f hereby certify that the above named material is consistent with the information presented in the Waste Characterization Forr <br /> and Contaminated Soil Description Form,and has been properly described,classified and packaged,and is in propercondltio <br /> for transport <br /> acco dmg to applicable regtions <br /> Name -111 Date <br /> �' f q <br /> Destination Forward, Inc <br /> 9999 South Austin Road, Mca, California 95336 <br /> (209) 982-4298 �I <br /> Received by <br /> Date J - 1 <br /> Acceptance No =1?_3 - _ 3? <br /> IThis load contains soil with <br /> Iless than 100 ppm greater than 100 ppn <br /> WOPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOF <br /> RY ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE (209)982-4298 LANDFILL DELIVERIE: <br /> EMUST BE SCHEDULED ON A D ILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> Yards Per this Load <br /> WRITE-FACILITY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />