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FORWAR LANDFILL <br />DAILY COVER CERTIFICATION <br />DAILY COVER HAS BEEN APPLIED <br />IN ACCORDANCE WITH TITLE 27CCR, SECTION 20680 <br />EMPLOYEE NAME: <br />EMPLOYEE SIGNATURE: <br />DATE: TIME: <br />MATERIAL TYPE <br />AVERAGE THICKNESS <br />AREA COVERED (feet) <br />VOLUME USED <br />TONS USED <br />(feet except where noted) <br />Length <br />Width <br />(cubic yards) <br />(Converted from cubic yards) <br />SOIL <br />inches <br />N/A <br />N/A <br />PROCESSED GREEN <br />MATERIAL (PGM) <br />0 <br />0 <br />(density factor 776.3 lbs/cy) <br />TREATED AUTO SHREDDER <br />WASTE (TASW) <br />0 <br />0 <br />(density factor 1,124.8 lbs/cy) <br />SHREDDED TIRES <br />0 <br />N/A <br />TARPS <br />N/A <br />N/A <br />N/A <br />COMMENTS: <br />J:\Allied\Forward\JTD Amendment\January 2007 JTD Amendment\ADC Form - Daily Cover Cert.xls; 2/1/2007 <br />