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• I <br /> 4 ? Recycled)!aper' <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 512?�. <br /> Generator: i <br /> x <br /> Address: <br /> ?0q)Phone: - Contact: <br /> { 1br' <br /> Transporter: fG a <br /> ?Address: e � ski <br /> Phone '( O- __ S '•.S - . j.rny5tx Il <br /> I hereby certify that the above named material was picked up at tfie generator site listed above. <br /> .Driver Signature: , � � _ �.,.�•^--�' ,, 1 <br /> Shipment Date:ly <br /> - <br /> ,� <br /> 'Truck No.. ' <br /> ;32627 <br /> Qi <br /> .Vehicle License No./State: � � � � � `' �'. .a � <br /> recycled paper Y <br /> F <br /> i O ' <br /> Consultant/Contractor: �, 'F "� Z ➢ Q n <br /> m A n A z � <br /> U) „o x <br /> Address: a, a m Z o 0 o T 'c i <br /> o T C .i. In ' <br /> Phone: (. } _ �'Y Contact: o i n ;0 9 <br /> i I j m `moo . <br /> I hereby certify that the above named material is consistent wits'".. ; '� 0 N <br /> and Contaminated Sail Description Form,and has been proper) ❑ �❑ ❑❑ ❑❑ ❑❑ a n <br /> for transport according to_applicable regulations. I ° o o <br /> :� vc -pper <br /> 0 , a m n z A I <br /> N'i, 7o r <br />�..Namei - \r °4z; � o° 0�0 I <br /> r p� Z J w <br /> 11 9 <br /> - rte � a -, 4­ i}_cn <br /> ,o <br /> t *9ts ? <br /> Destination: Forward, Inc.'� ��''vv�11 <br /> 9999 South Austin Road, Manteca, California 95; u`' o <br /> (209) 982-429 . <br /> 8 , _ f <br /> Received by: � , �1 i .,l • o A c m <br /> , g > A C <br /> Date: ' I /cry q m W <br /> y_?+ V z O <br /> OAcce <br /> Acceptance No.: z <br /> mC <br /> o <br /> This load contains soil with: i — _ Qr� ' -°z r <br /> I Tally Sheet No. b j7 A <br /> fess than 100 ppm � w <br /> A COPY OF THIS SHEET MUST ACCOMPANY EVERY WA; _ vt �, 4 <br /> ENTRY.ALL LOADS MUST BE SCHEDULED AT LEAST 24 H� x k <br /> MUST BE SCHEDULED ON A DAILY BASIS. ANY UNSCHEG l <br /> .Yards Per this Load: <br /> 0 <br /> WHITE-FACILITY COPY YELLOW-TRAN: <br />