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------------ <br /> J <br /> f <br /> aend'1at` r <br /> CA <br /> Ware- �}f Z UGC G� l <br /> 'hone: { Gf j� ) - _ GIRD Contac#: CC f <br /> "ransporter: {�d <br /> v <br /> Wdress: <br /> 'hone: ( )'_ 2 - 7 Contact: <br /> S _ <br /> hereby-certify that th ove namedsmaterial was picked up at the generator site listed above:: ^� <br /> 4 <br /> )river Signature: 5 A � � � r ,� _ <br /> shipment Date ,,s , <br /> fuck No.. 5 Load No. <br /> Sek icle^License lor9State: <br /> �ultant/ContractgrAa <br /> y <br /> phone { j: - V Contact:. .' <br /> -ql� <br /> '�Erebycerti�ytha#theabovegamedmateriali�cansistentwiththeinforrriationpresentedn,th WasteCtiai cte ' 'att� <br /> `Co #amnated$oi{Descri tiono� a asbeen.` o etlydesceibedclassified a d pac age nd is o e o <br /> i cans o r to app cab a A <br /> �a s <br /> y � <br /> �.� <br /> tame <br /> )estination: Forward, Inc. <br /> 9999 South Austin Road, Mant ca, California.95335 <br /> (209)982-4298 <br /> Received by: <br /> Date: ' <br /> ,cceptance No.:- <br /> -his <br /> o..-his load contains soil with: <br /> '�� x. lessthan' 0 <br /> OC <br /> �� S.WgCr M ,� .C• P <br /> O 0 <br /> :� ;p <br />