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-- - Recycled Paper <br /> FORWARD, kNC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 0 514Ew <br /> T <br /> Generator ._ <br /> Address Z_ a F I (i- <br /> Phone <br /> y <br /> Phone (--�S ) - - Contact <br /> Transporter ? YR_ <br /> r <br /> Address <br />' Phone (�j) - Contact <br /> I hereby certify that the above named material was picked up at the erator site listed above <br />' Driver Signature .� <br /> Shipment Date <br /> Truck No Load No <br /> Vehicle License No/State <br /> nsultant/Co-itractor me L)c- v <br /> aress c G - <br /> p�� c'T' Contact <br /> Phone {��) 951_ - - <br /> I hereby certify that the above reamed material is consistent with the Information presented In the Waste Characterization Forr <br /> and Contaminated Sat(Description Form,and has been properly described,classified and packaged,and Is in proper conditl%�i <br /> for transport a4cor g to applicable regulations - <br /> t - <br /> Name Date <br /> Destination Forward, Inc <br /> 9999 South Austin Road, Manteca, California 95338 <br /> (209) 982-4298 <br /> Received by - <br /> Date 2 <br /> Acceptance NoZz - <br /> 'This load contains soil with <br /> less than 100 ppm greater than 00 pprr <br /> OPY 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 DELIVERIES <br /> IqIUST BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> Yards Per this Load / T <br /> ' WHITE-FACJUTY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />