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S ..fgs <br /> Utz'_ <br /> TAW <br /> ?nerator: <br /> ldress: j -3 2 Dyj <br /> - contact: Bola/C k.._ oy_� rut- _ <br /> an' porter: <br /> ldress: <br /> ione: 0T7 ( - - --Contact: <br /> .ereby certify that the ab o med material was-picked up at the generator site listed above. . <br /> Iver Signature: <br /> ,ipment Date: <br /> K, <br /> r , <br /> uck No_: Load No.: F <br /> hicie License No./State: <br /> Ptant/Contractor.: <br /> oesY - 21 Contact: <br /> �. <br /> erebycertifythat the above named aterial ss consistent with the information presented in theWa to Char�actenzatio oris <br /> "' <br /> dContaminated.SoifDescnptIon Fo" ,and has been properly described,classI-f ec and ackaged nd�s " properco dilion <br /> s� <br /> ftrans�rt'6 co, ng o'applica a reg la ions 4 T ` <br /> y 2 Date. ` >' 9 <br /> '~ $ . <br /> 4.: ? . <br /> :stination: Forward, Inc. <br /> 9999 South Austin Road, M nteca, California 95336 <br /> (209) 982-4298 _ <br /> Received by: <br /> Date: <br /> ceptance No.: - 3 <br /> is load contains soil with: <br /> t ae <br /> ♦ r . w <br /> F OAlJ _ �► .7 :OD 0 U-jW S <br /> ply �p . SC l9 D <br />