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FORWARD INC.,LANDFILL <br /> SO#L. LOAD CHECKING DATA FORM <br /> M CODE � � �] CUSTQ1vIER# <br /> ORIGIN2 <br /> �cjL .rale NllM13 R J L <br /> DATE 014 TIME � _ <br /> Soil Disposed in WMU FU-03 <br /> YARC3S PR~.E+2 LQAf� 18 <br /> NAME OF TRANSPORTER r <br /> TRUCK NUMBER �} <br /> CIRCLE THE APPROPIATE CHOICE <br /> TYPE OF SOIL TREATMENT DISPISTKP fSl'OSAE_ COVERISTKP COVER STOCKPILE <br /> TYPE OE TREATMENT 810-REMEDATION AERATION l�Oi�E <br /> STAKED YESITREATIUEENT YES/STOCKPILE � C- -- -DNO--'SOIL COLOR---LIGHTGRAY DARK GRAY YELLOWISH SROWN— =— r` ` <br /> _—Y-- --- '--L.IGHT BROWNMEDIUM BROWN � DARK BROWN— _—= --REDDt§H-6-RQvv—N <br /> SOIL TEX�E GRAVEL COARSE SAND PINE SAND SILT CLAY <br /> ODOR GAS DIESEL OIL STRONG MILD ON--DETECTED? <br /> MOISTURE DRY MOIST WET PORABLE LIQUID _ <br /> OTHER DEBRIS IN LOAD - CONCRETE ROCKS PIPING PLASTIC WOOD <br /> DID SOIL COME.IN BARRELS YES NO HOW MANY? <br /> SIGNATURE OF INSPECTOR <br /> PRINT NAME <br /> , <br />