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Recycled P$Per - <br /> R IDENTIFICATION FORM <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVE <br /> -� 515 <br /> Generator �! <br /> Address Z /v C <br /> Phone (21* ) � - - L� Contact <br /> Transporter <br /> � <br /> Address G' T d f <br /> °Contact <br /> Phone ( 2r ' <br /> I hereby certify that the above named material was picked up at the generator site listed above <br /> Driver Signature <br /> Shipment Date F <br /> Truck No Load No <br /> Vehicle License No/State <br /> I <br /> nsultant/Contractor <br /> -� � K� <br /> ddress � <br /> Phone e ) - -- <br /> � Contact <br /> I hereby certify that the above named material is consistent with the information presented in the'Naste Characterization For <br /> and Contaminated Soli Description Form,and has been properly described,classified and packaged,anti ;s in proper conditic <br /> I for transport accorduog to applicable regulations <br /> Date <br /> Name <br /> i <br /> 1 <br /> Destination Forward, Inc <br /> I 9999 South Austin Road, Manteca` California 95336 <br /> (209) 982-4298 <br /> Received by ~` <br /> �]atP <br /> Acceptance No � - � <br /> IThis load contains soil with <br /> less than 100 ppm greater than 100 pp <br /> COPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FC <br /> TRY ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE (209)982-4298 LANDFILL DELIVERIE <br /> IN <br /> MUST BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE ^ <br /> Yards Per this Load - <br /> 1 WHITE-FACILITY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />