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- - — Rocycied Paper — - <br /> =FORWARD, INC. NON—HAZARDOUS WASTE DRIVER IDENTIFICATION FiDRM 3a <br /> -51 <br />'Generator <br /> Address <br />'Phone (Z�j) -�— - <br /> Contact <br /> E 12 <br /> f Transporter <br /> Address „--- <br /> Contact <br /> Phone <br /> I hereby certify that the above narued material was picked up at the generator site listed above <br /> ,f <br /> Driver Signature 'T- �`et <br /> Shipment Date j <br />' Load No <br /> Truck No ' <br /> `SI- <br /> Vehicle License No/State <br /> sultant/Contractor�- <br /> fi- C C40AJ�—$7)C J CTl!� A <br /> �! �)2 /A)C� '� o <br /> IIIJ <br />��ddress �L <br /> 5-I �O - Contact D <br /> - Phone (��j . } � - <br /> hereby certify that the above named material is consistent wrth the information presented in the Waste Charactenzatlon Farn <br /> and Contaminated Soil Description Form,and has been properly described,classified and packaged,and is in properconditior <br /> for transport accog to applicable re LaIlons. " <br /> n <br /> _ Date <br /> Name <br /> Destination Forward, Inc <br /> i 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 -' <br /> Received by <br /> Acceptance No 1'� - 3� <br /> This-load contains soil with <br /> less than 100 ppm greater than 100 pprr <br /> OPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOF <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 IS <br /> 3 <br /> WHITE-FACILITY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br /> • _ �. J, __� <br />