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,%: - -% N <br /> e� �•'+` � 1�r` 1 � r ® �hcrcleB�Paper <br /> a <br /> FORWARD, INC. NON-HAZARDOUS WASTE DRIVER IDENTIFICATION FORM <br /> � 01745 <br /> Generator <br /> Address <br /> I <br /> Phone ( ) - Contact <br /> Transporter j yUfa oo C C <br /> Address —cir r4.✓ zZ� <br /> Phone (moo YG r `rte Contact <br /> I hereby certify that the above named material was picked up at the generator site listed above <br /> Driver Signature <br /> Shipment Date l�S <br /> Truck No Load No <br /> Vehicle License No/State <br /> 01sultant/Contractor <br /> Address <br /> Phone ( ) - Contact t <br /> t c <br /> I hereby certify that the above named material 4s 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 /> Destination Forward, Inc <br /> 9999 South Austin Road, Manteca, California 95336 <br /> (209) 9824298 <br /> Received by <br /> Date —_ - <br /> Acceptance No <br /> This load contains soil with <br /> less than 100 ppm greater than 100 ppm <br />•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 (289)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 /> GENERA T On COPY <br />