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Recycled PapeL F E r <br /> FO�,R;WARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> =- 5 12'5 <br /> Generator: ,fir, ' ` '° t ; <br /> . ' Address: C <br /> Phone: O Contact: ji <br />' Transporter: <br /> Address: i _._ i^ + • � <br /> PhoneY.( �} ,s •,`f., 'V . , Contact ., <br /> _ , � •i � :r �-f.` arm•e.� .,.s £.''.,- ,�.k.FF�"il"'�t,� i <br /> < I hereby certify that the above named material' was picked up at the generator site listed,above, <br /> 4 E ' <br /> a <br /> jDriver Signature: r, - �. • : ! ' <br /> Shipment Date: <br /> Truck No.: �± ! <br /> Vehicle License No,/State: <br /> 32618 �Q� <br /> SSSF [`;aft I, mcycled paper `F <br /> Consultant/Contractor`. ! o F r t7o z c <br /> Uf - m a m' O <br /> 't# ' K z o v 0` T <br /> Address: 0 <br /> m <br /> Phone: Contact:_ . m o m a x <br /> m' P <br /> ` 3 <br /> I hereby certify that the above named material is consistent withn: T. O.• n <br /> and Contaminated Soil Description Form,and has been properl� 0 J•❑ []o ODD[] m+ N ? <br /> I o n n n o - n o i ' p rrr <br /> for transport according to applicable regulations. �,o o a o , <br /> 2 W KO 3: O m <br /> i m <br /> Name: I f ° Z � Q �° r <br /> au <br /> Z o v <br /> rvA 'ia._• '•*`i':3y „ x.,.-:`Apy; , t e a•ra ,,,... <br /> L• O , r'•'�,. _ `. -''.t: f <br /> _ p FG w <br /> E <br /> Destination: Forward, Inc. <br /> �v <br />' 9999 South Austin Road, Manteca; California 953: 1 0 �V <br /> D <br /> Received by: c <br /> IM , <br /> t, ' (209) 982-4298 <br /> - L�, �,.1 �` c o <br /> ,- : <br />' Date:_ ' <br /> o s Q <br /> o <br /> In p <br /> ' n <br /> Acceptance No.. ° J °f m <br />' This load contains soil with: 0 r �. z <br /> C Z Tally Sheet No. N <br /> less than 100 ppm p <br /> A COPY-OF THIS SHEET MUST ACCOMPANY EVERY WAST 12C ,r n <br /> ENTRY.ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOl' � <br /> 13 '` <br /> N <br /> MUST BE SCHEDULED ON A DAILY BASIS. ANY UNSCHEDU N I <br /> Yards Per this Load: _ � - -,.'' ,' o ; <br /> WHITE-FACILITY COPY YELLOW-TAANSP( F,j P <br />