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Recycled Paper <br /> ` F:ORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 514 <br /> Generator <br /> Address <br /> Phone (I-o'? S Contact <br /> Transporter - <br /> Address <br /> IPhone ( 7 7) c7_ - L/I, f 7 intact <br /> I hereby certify that the abov amed ma real wasp ked 4 at the generator site listed above <br /> Driver Signature _— <br /> Shipment Date _ <br /> Truck No � _ _ Load No <br /> Vehicle License No /State 7Z.MZ 2 <br /> It <br /> sultant/Contractor � t���3�g 1)C <br /> --7`�i D►t. �- - -_-- <br /> v <br /> ress <br /> Phone ( Z_O:�) - �Z �o� Contact <br />' I hereby certify that the above named material is consistent with the Information presented fn the Waste Characterization For <br /> and Contaminated�o fDescription Form,and has been pr perly described,classified and packaged,and is in proper cohditic <br />' for transport aecf g to applicable ceyulations i <br /> Name Date y 'T <br /> Destination Forward, Inc <br />' 9999 South Austin Rodd, Manteca, California 95336 <br /> (249) 982-4298 <br /> Received by L'j' <br /> Date <br /> Acceptance No 7___�F3 - <br /> This load contains soil with <br /> less than 100 ppm greater than 100 ppr <br /> OPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOi <br /> ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE (209)982-4298 LANDFILL DELIVERIE <br />, _,ZITRY <br /> MUST BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> f � <br /> Yards Per this Load <br /> WHITE-FACILITY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />