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7 <br /> 07121312010 13:31 2099821803 BONADONNA ASHAPHALT PAGE 05/05 <br /> • FORWARD INCO RPO RAT e ! i ., - '• � � =onward <br /> 9494SdwhAl do lidad l45!!i '.' ear" ©ATE: k . . <br /> P!mwea CA:9333I St�tktd 46 L.artdflll <br /> LandflL 2t19 482 4.982= 9 Mann 3999 S.Austin hoed <br /> aosaurce REee -4 18" :'�.;; Fax 2A�G6� TRUCK Llt:#: <br /> tanteca,CA 95936 <br /> ]] 'hone{209)982-4298 <br /> �. CUSTOMER N" - ., ''" TRUCK NO � � ILER LIC A: =ax(209) 982-1009 <br /> BILL TO: .:....-. r <br /> , a NO. <br /> -: DESCRIPTIgNNOTE5_ <br /> EFUSf s'EQUIPMENT <br /> 0 r R� ATE4 waoq �r, GROSS )R Z1 HARD HAT <br /> ❑SLUDGE - <br /> T-771 L]ASH ...- <br /> U A58E$ros TARE <br /> ❑NON•FRIAe7LE A-SE—S70S <br /> Ll 11 S01!_ <br /> --..._ <br /> J SOIL <br /> . ti STOCKPILE NET <br /> -- <br /> I <br /> � • �. TANS � <br /> IN r�AM 1 <br /> r <br /> I` <br /> :�: ' PM <br /> Signed �'�-�--- <br /> OUT. AM I PMi <br /> *DISPOSAL ❑SLUDGE <br /> Q CONSTRUCTION ❑W00R <br /> O DEBRIS ❑OTHER <br /> ❑SPECIAL.WASTE <br /> GENERATINP FACILITY - <br /> T 4'lSPORTER NATES: VEHICLE LICENSE NUM13ER TRUCK NUM13ER <br /> " <br /> T _ <br /> _V,.STATE,ZIP . i <br /> r <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIG RE OF AUTHORIZED AGENT OR DRIVE=R DATE R21 L-OFF S: FLAT-BED VAN DRUMS <br /> - . p 0 O ❑ <br /> ef r <br /> CUBIJC YARDS <br /> I hereby certify that the above named material has been <br /> accepted and to the best of my knowladge the foregoing <br /> DjSk>SAL METHOD: (TQ OE COMPLETED BY LANDFILL) <br /> is true and accurate. <br /> DISPOSE OTHER <br /> REMARKS a SOIL <br /> U CONSTRUCTION <br /> FACILJTY TICKETNON <br /> . -NUMSEA DEBRIS <br /> ❑ NON- <br /> ASBESTOS <br /> SIGNATURV OF.AUTH RIZED AGENT DATE <br /> f <br /> a WOOD <br /> Jc!" " ' ❑ ASH/.(t <br /> ... ❑ SPECIAL OTHER <br /> $CHEDUUNti7 usir BE MADE PRIOR To 3:00Ip.ak.irw DIY PRIOR TO EXPECTED ARRIVAL.ANY UNSCHEDULED LID 0 AR SUI3,IEC I <br /> TO RIEFUSAL UPON ARRIVAL,ONGOING DAILY DELIVERIES MAST BE SCHEDULID WITH THE LANDFILL THIS DAY BEFORE, <br /> „ r]tnECt7ATr1q f nov MANIFEST a i i n n,3 <br /> , <br /> i <br /> 1 <br />