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FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 01460 <br /> anerator Homestead Land Develo ment Cor <br /> ldress 27383 South MacArthur Road , Iragy. CA <br /> lone ( 415 ) 692 - 1432 Contact BruceBrennan <br /> ansporter <br /> Jdress 1 E <br /> lone ( 916 ) ---9S-5-- - Contact <br /> Greg Pope <br /> iereby certify that the above named material was icked up at the generator site listed above <br /> ever Signature CIO ra'� <br /> -ipment Date <br /> uck No _5-7 7 Load No d <br /> chicle L,cense No /State _ 9P } A 9 CA , - <br /> oltant/Contractor American <br /> ddress 11855 Wh <br /> none ( 916) _ 985 - __626L6 6 _Contact _ rrpg Pn <br /> iereby certify that the above named material is consistent with the information presented in the Waste Characterization Form <br /> id Contaminated Soil Description Form and has been properly described,classified and packaged,and is in proper condition <br /> >r transpor rding t placable regulations <br /> Date d <br /> ame Z <br /> estination Forward, Inc <br /> 9999 South Austin Ro d, Manteca, California 95336 <br /> (209) 982-4298 11 1r� <br /> Received by LL 1� <br /> i Date <br /> cceptance No 92 - 165 <br /> his load contains soil with <br /> less than 100 ppm Vgreater than 100 ppm <br /> 4OPY OF THIS SHEET MUST ACCOMPANY EVERY WASTE LOAD, AND MUST BE SUBMITTED AT THE GATE FOR <br /> NTRY ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE (209)982-4298 LANDFILL DELIVERIES <br /> LUST BE SCHEDULED ON A DAILY BASIS ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE <br /> ards Per this Load - <br /> GA(111 +ry rnrly <br />