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} ,•, Recycled Paper <br /> irk 1' x <br /> FOR <br /> Ik <br /> WAR <br /> D, INC, NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM ' <br /> , I , <br /> 5126 <br /> Generator: of // ' <br /> Address: I ^� <br /> Phone: ( QG/) Contact: ' sig { <br /> s <br /> VA <br /> Transporter.. G%-^ �( a /" <br /> r - AA (. r <br /> Address: V�7, <br /> � x. ' ,J�-e . . . <br /> t a. <br /> li .1 <br /> PtlOne: , COntaCt:; <br /> I hereby certify that the above named material was picked up'at the generator site listed above.6 <br /> . - ., <br /> Driver Signature: _ .. - ' �• , ' � � - <br /> Shipment Date: <br /> Truck No.. <br /> 32619 <br /> Vehicle License No,/State: .:..• <br /> recycled paper 1 <br /> Consultant/Contractor: ! n �r� n o <br /> C <br /> m r a m 7 D m z 9 <br /> Address: I L z z N. T n 4 <br /> i z ao v o �- <br /> a C M -4 <br /> Phone: ( ) Conn N ,= '" i <br /> m r nFin <br /> I hereby certify that the above named material is consistent) . N m <br /> and Contaminated Soil Description Form;and has been prof f Ql o n <br /> for transport according to applicable regulations. �" © 00 ❑© �� 0- m " -+m <br /> [�C) a n om no A <br /> T sHo,Z 'S m C) O <br /> Name: g z n" � o n m 1 n <br /> Ii 2 D A q w <br /> cn <br /> Destination: Forward, Inc.','. i r o <br /> 9999 South Austin Road, Manteca; California' p <br /> m <br /> (209) 982-4298 p Y3 mNOME <br /> 'n <br /> Received by: r o ;' (n m <br /> rV C: I <br /> .J <br /> ate: . <br /> M <br /> Acceptance No.: - 4 < o <br /> J <br /> rr § m <br /> h � <br /> This load contains soil with: A <br /> o z <br /> less than 100 ppm .' Tally Sheet No. n <br /> N:[O <br /> A COPY OF THIS SHEET MUST ACCOMPANY EVERY V <br /> ENTRY.ALL LOADS MUST BE SCHEDULED AT LEAST 24 <br /> MUST BE SCHEDULED ON.A DAILY BASIS. ANY UNSCI a o i <br /> m <br /> Yards Per this Load: 4 N. <br /> r <br /> WHITE-FACILITY COPY YELLOW-TRA b <br />