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07/28/2010 13:31 2099821803 SONADONNA ASHAPHALT PAGE 03/06 <br /> nw Hrcu .NCO <br /> •----�orwara <br /> 4499 5ourh RF—ORATED- <br /> AWTInRoad -i r / x-,y' J ,' arlClfill <br /> miren.GA 953 5 I I DS w':J ' haner lY bl�I•I: j , <br /> 1 ! - �_cf <br /> Land911 2(FW&.; 48 .. Stv+k[on, gag " " "--^�• — 1999 S.AU5tiir Road <br /> Resource Rec �;; Main C3�ce 4•!!w -;4�g � <br /> ,Aanteca,CA 95336 <br /> !!! fir' Fax:249-+66 ig�3 TRUCK LIG#: -,hone 209 982-408 <br /> )F - f <br /> CUSTOMEf� } TRUCK NO; ,J f fw =&x(209)S82-1009 <br /> 7RA1LCR L10 P- <br /> s <br /> F3 ILL TO: - - r. �.'_ I b NO, <br /> ' F <br /> 4' <br /> S1$ 5'CSE : EQl..IIPM _NT <br /> �.--�.� DESL`3tIA'rTOtJ 1Fi O HARE)HAT <br /> REF1J <br /> G]TRE;ATECJ 1+V[iQk3 <br /> GROSS <br /> �--� I:i sI•I - <br /> � U'As�pEsros f -- <br /> €�. =�RIY:BLEd[s6S T05 ,% TARE <br /> �ti;soa� ,r•. <br /> I <br /> a NET <br /> TONS <br /> _ <br /> IN <br /> Signed <br /> OUT - AMIPM <br /> Z1 CONSTRUCTION d wool]"' _ <br /> O DE13RIS 3 OTHER <br /> Q SPECIAL WASTE <br /> GENEMATING:MII ITY <br /> UAV <br /> I <br /> TWISPORTER NOTES: I VEHICLE LimsE NUMBER , TRUCK NUMBER/' <br /> . i <br /> - Y <br /> Ala'RESS <br /> v .'Joy: <br /> CITY,STATE ZIP <br /> PHQNEEND DUMP BOTTCIM Dl1MP TRANSFER <br /> SIGNATI IRE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS FLAT-BED El ; <br /> c ; <br /> VF;N MUMS <br /> ❑ . E3 ❑ C] <br /> 0 . . .. <br /> i <br /> - I <br /> CUBIC YARDS i <br /> I,tby certify that the above reamed material has been z <br /> Iccepted and to the best of my knowledge the foregoing Of5PQ5AL METHOD; (FO BE COMPLETED 81'LANDFILL) <br /> is true and accurate. I <br /> DISPOSE OTHER I' <br /> R <br /> B <br /> . - 0 SOI L <br /> R.i=NfAR.K <br /> ❑ CONSTRUCTION <br /> DEBRIS . <br /> `FACILITY TICKET NUhht3EI3 ... <br /> - U NON-FRIABLE <br /> ASBESTOS <br /> 8IGNATUFS -OF XOTHORIZED AGENT DATE <br /> 0 WOOD <br /> j v ASAI <br /> ❑ SPECIAL OTHER <br /> SC:ilEbUI.AI+tQ`ilkllUST BE MADE PRIOR TO 3;00 P.At.THI~DAY PRIOR TO E WECTED ARRIVAL-ANY UNSCHEDvLED LOADS ARE SUB490T a <br /> TO REFUSAL UPON ARRIVAL..ONGOING DAILY DELIVERIES MUST 08 SCHEDULED WITH TI4C LANDFILL THI=DAY 6EFORE. I <br /> Rry ttjpg iV5-024 <br /> GENERATOR CORY MANIFEST 43 3 0 0 i } <br /> r <br />