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FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 00439 <br /> Generator: Panella Trucking, Inc. <br /> Address: 5000 or 2150 E. Fremont Street <br /> Phone: ( 209) 943 - 5000 Contact: Roger Scriven <br /> Transporter: _ _ George Cardoza Trucking <br /> Address: 5388 E. Section, Stockton, CA 95205 <br /> Phone: ( 209 ) 464 _ 2601 Contact: __ George Cardoza <br /> I hereby certify that the above named material was picked up at the generator site listed above. <br /> r ; <br /> / -� . <br /> Driver Signature: '` Y." 1%% <br /> Shipment Date: <br /> Truck No.: _322 _ Load No.: 7;Pr `1 <br /> Vehicle License No./State: 1/4D 3 2x Z <br /> Consultant/Contractor: William Hunter Assoc. <br /> Address: 2220 Loma Vista Drive Sacramento CA <br /> Phone: ( 916 ) 972 - 7941 Contact: Dennis Allen <br /> I <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> and Contaminated Soil Description Form,and has been properly described,classified and packaged,and is in proper condition <br /> for transport according to applicable regulations. <br /> Name: NIA Date: NIA <br /> Destination: Forward, Inc. <br /> 9999 South Austin Road, anteca, Ca ifornia 95336 <br /> (209) 982-4298 <br /> Received by: <br /> Date: 2 <br /> Acceptance No.: 92 _ 168 <br /> This load contains soil with: <br /> x less than 100 ppm greater than 100 ppm <br /> A COPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> ENTRY.ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE: (209)982-4298 LANDFILL DELIVERIES <br /> MUST BE SCHEDULED ON A DAILY BASIS. ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE. <br /> Yards Per this Load: �'6 �l 5 <br /> RECEIVED HM 1 1992 <br /> TRANSPORTER COPY <br />