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] Recycled Par <br /> FORWARD', INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 5147 <br /> Generator` _,SPA 5 i� - - • <br /> Address 2 C o cz- "Tz� <br /> Phone "51M - �-S� S - --Contact ,4jL *41 <br /> — <br /> tTransporter 2 �J a k <br /> Address <br />' Phone (Z6) ) - 2lr,2 FLiG,otftact <br /> I hereby certit`y that the a e med material s picked up at the generator site listed above <br /> tDriver Signature <br /> ? <br /> Shipment Date <br />` Truck No � / Load No <br /> 1J�/ <br /> Vehicle License No /State . �Zy(' r <br /> risultant/Contractor „ <br /> address <br /> Phone (2:[)J) ��— - f'l —Contact <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Fort <br /> and Contaminated iii Description Form,and has been properly described,classified and packaged,and is in proper conditio <br />' for transport ac ' ng to applicable re r lations �. <br /> Date <br /> Name <br /> r <br /> Destination Forward, Inc <br /> 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 n. <br /> Received by <br /> Date <br /> Acceptance No =573 - - <br /> This load contains soil with <br /> less than 100 ppm greater than 100 ppr <br /> VOPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOI <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 _ '/ 9 <br /> ' wHITE-FACIUTY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />