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Y <br /> Recycled Paper <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORN, <br /> Generator i�t 8 tJ A 5 1451 <br />' Address I F I L J& <br /> Phone <br /> Contact C rne-l-,k LP14- <br /> Transporter 2 { K 16-,?— <br /> I Address } - <br /> Phone_ r� <br /> �Z �� Contact <br />' I hereby certify that the a <br /> bove med erla! was plckedal ggnPrator site listed above <br /> iDriver Signature <br /> Shipment Date <br /> iTruck No y —Load No <br /> Vehicle License No/State vlorq 4^77 <br /> i <br /> Consultant/Contractor <br /> Pddress 3 7 ' <br /> InJL <br /> Phone Contacts' <br /> iI hereby certify that the above named material is consistent with the information presented In the Waste Characterization Fc <br /> and Contaminated Soli Description Form,and has been properly described,classified and packaged,and is In propercondlt, <br /> for transport a Ca 'rng to applicable, - ulatrons ' <br /> i 1` � <br /> Name Date 7 <br /> I <br /> Destination Forward, Inc <br /> 9999 South Austin Road/Manteca, California 95336 <br /> i (209) 982-4298 <br /> Received by 4 �. <br /> Date �+ <br /> iAcceptanceNo LLQ-_ - <br /> This load contains soil with <br /> less than 100 ppm greater tnan i0o ppi <br /> COPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FO <br /> FRY ALL LOADS MUST BE SCHEDULED AT LEAST24 HOURS IN ADVANCE (209)982-4298 LANDFILL DELIVERIE <br /> iUST BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> Yards Per this Load <br /> iWHITE-FACILITY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />