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WRWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 01458 <br /> nerator Romesteaa Land Development Cor <br /> dress 27383 S MacArthur Road Tracy, CA <br /> one ( RIK) 692-1432 Contact Bruce Brennan <br /> 415 <br /> insporter American Enviornmental Management Cor <br /> dress 11855 White Rock Road Rancho Cordova CA 95742 <br /> one ( 916 ) 985 - 6666 Contact Greg Pope <br /> areby certify that the above named material was picked up at the generator site listed above <br /> ver Signature 'Q L �" <br /> ipment Date X -17- <br /> ick No 7 Load No — <br /> nicle License No /State 6L� 6,6Z69 C - <br /> nsultant/Contractor American Environmental Management-Corp <br /> dress 11855 White Rock Road Rancho Cordova CA 95742 <br /> one ( 916 6666 Contact Greg Pope — <br /> �reby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> J Contaminated Soil Description Form and has been properly described classified and packaged,and is in proper condition <br /> transpo cords applicable regulations <br /> me Date Z <br /> stination Forward, Inc <br /> 9999 South Austin Road, Manteca, California 95336 <br /> (209) 982-4298 <br /> Received by <br /> Date <br /> ceptance No _1 -- - 1 - <br /> is load contains soil with <br /> less than 100 ppm X greater than 100 ppm <br /> COPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> TRY ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE (209)982-4298 LANDFILL DELIVERIES <br /> JST BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> rds Per this Load ' 'J <br />