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3.: <br /> generator: <br /> ddress: X53 2 �i�oA�wA`/" �STo��To..j tisrL/f <br /> hone: ( 9/C ) -3�'3 you 3 Contact: <br /> ransporter: <br /> ddress: /5GS e <br /> hone: ( $05) /57-72 o-771. Contact: <br /> 1 <br /> hereby certify#hat the above name a r 5 p_90p at the generator site listed above <br /> river Signature: 00T <br /> e t > <br /> hipment-Date: <br /> _J ' "� <br /> . <br /> ruck No.: _ No.. <br /> Load <br /> eh'icle License . State <br /> ' Itant/Contractor RL�� I� iv ✓fix S } "' j <br /> f Rte` K�P���• �• fe.k �r,.,{ � ��.. ",;; .ii�c_ ° �.�. 45-' i <br /> hone. (-S�/S ) �2., �y3 ti Contact <br /> iersb certi. that the above named ma ertal ss consEstent wittithe m�orrnation:p e e t e as a Cha ac a �zatio arm k <br /> id'ContanrinatedSoyl Descr p o• y o a a`s ee roperCy`�M. ibe ;c asst ie ac a e an is o e eo i ion` <br /> ►r {ahspo <br /> estination: Forward, Inc. L <br /> 9999 South Austin-Road, Ma feta, California 95336 <br /> (209) 982-4298 1 . <br /> Received by: r <br /> Date: <br /> cceptance No.: <br /> his load contains soil with: r <br /> �. q <br /> 0 <br /> • • <br /> D4• <br />