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FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 00488 <br /> Generator: Panella Trucking, Inc. <br /> Address: 5000 or 2150 E. Fremont Street <br /> Phone: ( 209 ) 943 - 5000 Contact: Roger Scriven <br /> Transporter: Georze Cardoza Trucking <br /> Address: 5388 E. Section Stockton CA 95205 <br /> Phone: ( 209 ) 464 - 2601 Contact: George Cardoza <br /> I hereby certify that the abo � named material was picked up at the generator site listed above. <br /> 3 <br /> Driver Signature: <br /> Shipment Date: <br /> Truck No.: `~ Load No.: <br /> Vehicle License No./State: !i4 4, 41 <br /> Consultant/Contractor: 34illiam Hunter Assoc. <br /> Address: 2220 i, ma Vista Drive, Sacramento, CA <br /> Phone: ( 916 ) _ 972 - 7941 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 proper condition <br /> for transport according to applicable regulations. <br /> Name: NIA Date: N/A <br /> Destination: Forward, Inc. <br /> 9999 South Austin Ro d, Manteca, California 95336 <br /> (209) 982-4298 <br /> Received by: <br /> Date: <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 MIDST 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 /> RECEIVED �%[Ay 1592 <br /> TRAIJGP(IRTFR CCPV <br />