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. I <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM:] <br /> 00440 <br /> Generator: Yanella 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 951.05 <br /> Phone: (. 209) 454 _ 2601 Contact: George Cardoza <br /> I hereby certify that thd)above named material as picked up at the generator site listed above. <br /> r <br /> Driver Signature: � a <br /> Shipment Date. c " <br /> Truck No.: c2 S r <br /> Load No.: <br /> Vehicle License No./State: <br /> Consultant/Contractor: William Hunter Assoc, <br /> Address: a V D e Sacramento CA <br /> Phone: ( 916) 972 - 7241 Contact: Dennis Allen <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 propercondition <br /> for transport according to applicable regulations. <br /> Name: NIA <br /> • .. .. .. Date: N/A <br /> Destination: Forward, Inc. <br /> 9999 South Austin Roa , Manteca, alifornia 95336 <br /> (209) 982-4298 <br /> Received by: <br /> Date:- <br /> Acceptance <br /> ate:Acceptance No.: 92 - 168 <br /> This load contains soil with: <br /> % 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: <br /> PF <br /> CF_1\1FF3 MAY 1 5 19" ' <br /> TRANSPORTER COPY <br />