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ALCOM EMERGai <br />ASSOCAT(S L.( <br />IN PARTNERSHIP WITH THE ENVIRONMENT <br />NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br />Generator: <br /> MR. ORVILLE DAL <br />Address• <br /> 2259i YOUNG AVENUE STOCKTON, CA <br />Phone: ( 2 09 ) 477 1180 <br /> <br />Contact- MR . ORVILLE DAHL <br /> <br />APPROXIMATELY 1 YARD — 1.5 <br />Transporter' <br />Address' <br />FALCON ENERGY <br />P.O. BOX 1257 STOCKTON, CA 95201 <br />Phone: ( 209 ) 463 _ 7108 <br /> <br />Contact. JAMES J. HOBLITZELL <br /> <br />I hereby certify that the above named material was picked up at the generator site listed above. <br />Driver Signature• <br />Shipment Date• <br />Truck No.: Load No <br />Vehicle License No./State - <br />..:onsultant/Contractor <br />Address' P.O. BOX 1257 STOCKTON, CA 95201 <br />463 7108 JAMES J. HOBLITZE'LL Phone: ( 209 ) Contact' <br />hereby certify that the above named material is consistent with the information presented in the Waste Characterization Fc <br />and Contaminated Soil Description Form and has been properly described, classified and packaged, and is in proper condi:. <br />or transport according to applicable regulati <br />FALCON ENERGY <br />Nlame: Date' 613 <br /> <br />Destination GIBSON ENVIRONMENTAL <br />END OF COMMERCIAL DRIVE <br />BAKERSFIELD, CJ.i 93306 <br />0\kit-THL(1 Re3LI\e)d icy23-21" e_te2i (- <br />Date <br />cceptance No L7/t/73 <br />rhis load contains soil with: <br /> less than '00 per' greater than 100 or, <br />COPY OF ---4.!S \ALS ACCOMPANY EVE:. _CDAD. AND MUST BE SUBMITTED AT THE 344:'•-E - <br />.:74'2 ',' _22.2= " N ADVANCE _ANDF"-L2F <br />4 .=-• 41. -2 f. :„ C, _ _