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4 <br /> FPAWAM t OIAZAA6b(A f r <br /> 777 <br /> �� C 14=l <br /> en tor: <br /> ddress: 1 U � i <br /> ( q)(v) -aa - L Contact: <br /> hone• , <br /> "ransporter. e r v <br /> c . <br /> ddress: raveV <br /> hone: 01-7 Contact: <br /> hereby certify that thea name fi�aterial wa icked up at the generator site listed above. <br /> river S•ignaturl: <br /> Y _ z <br /> hipment Da . 6 <br /> ruck No_: ................... <br /> Load No.: ! <br /> ehicle Licenseo./State: b; <br /> A <br /> . Itant/Contractor <br /> DY <br /> ddr,Ess: Jl 4 2-1 <br /> . <br /> �ry Contact. D LA -S D t* VY1 <br /> hone: { I - <br /> iereby certify that the above named material is consistent withtheinformation presented in the Waste Characterization Farm <br /> nd Contami ed SoiFDescription Form,-an(lhasbeen properly-described classifa d'packaged,and is in properco�d tion <br /> )r 'anspa acc r�g�to�`apPlicablevregulatwns, <br /> ," maxi <br /> Date: T <br /> . <br /> p 1 <br /> -estimation: Forward, Inc. <br /> 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 ! <br /> Received by: �' <br /> ©Date: <br /> cceptance No.: - 2 <br /> his load contains soil with: <br /> $a'`< A <br /> _ >.. w ti reatec to m <br /> less than 100 <br /> P SOF 5 E C•CO AN RaTG <br /> 1.US E C� RDU �D O SIS.A <br /> a s <br />