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A <br /> F <br /> 7 <br /> d <br /> TP <br /> ORWARD, INCA NON-HAZAKOV S WASTEDRIVER ID NTllw#C:J <br /> - <br /> enerator: r <br /> dress: <br /> rK oIt Wa a . <br /> lone: ( q) Contact: Tif C <br /> •ansporter: <br /> dress: I <br /> ione: (9K) Contact: r r <br /> iereby certify that the above named material was picked.up at the generator Ae listed above. <br /> -iver Signature: <br /> iipment Date: <br /> -uck No.: ---------------(,,I Load No.. <br /> ,.�r .. <br /> chicle License No./State: <br /> tant/Contractor: <br /> idress: <br /> bone: <br /> � Contact: � <br /> q�) <br /> �q2 <br /> - ' <br /> ereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> A Contaminated Soil Description Form,and has been properly described,classified and packaged,and is in propercondition <br /> r transport acc in to applicable regulations. <br /> Date: <br /> ame: <br /> istination: Forward, Inc. <br /> 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 <br /> Received by: <br /> Date: <br /> ;ceptance No.: <br /> its load contains soil with: <br /> less than 100 ppm ;, g :e a --t a ,;0, pm <br /> VIC <br /> ANNpY OF THIS SHEAT MIDST ACCOMPANY EVERY AASTE*I_O` D .A MUST SUBMITTED A G :OR <br /> JRTRY.ALL LOADS MUST B;E SCH DIJIED A S' s=2' H'®UR5 N `D C `X208 982- 288 A D -L ES <br /> UST BE;SCHEDULEDA N A D`AIL BASIS A. U SC D - O S S =' <br /> it•s e t s goad - <br />