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i <br /> Re.tyeledPaper <br /> y <br /> r y • <br /> ,i f <br /> i <br /> DRWAF�ID, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> 01747 <br /> C I r__ �~ � <br /> Gdri�eratorF1 + ) <br /> Address <br /> Phone ( ) - Contact <br /> Transporter �^U <br /> Address — elf-Alr <br /> Phone {ate) Y 6 Z - C Z ifr - Contact <br /> I hereby certify that the abov named material was picked up at the generator site listed above <br /> Driver Signature <br /> Shipment Date r <br /> Truck No 2r - _ Load No <br /> Vehicle License No/State <br /> ,f <br /> Qu I tant/Con tractor <br /> Address <br /> Phone ( ) - Contact <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 Date ' <br /> i <br /> Destination- Forward, Inc <br /> 9999 South Austin Road, M nteca, California 95336 <br /> (209) 982-429$ <br /> Received by <br /> 4' Date I ��r <br /> c� f <br /> Acceptance No <br /> This load contains soil with <br /> r <br /> less than 100 ppm greater than 100 ppm <br /> l <br /> PY 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 /> ocur-nA T OF1 CuPy <br />