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FORWARD INCORP-ORATED <br /> -r Forward <br /> 9999 South Austin Road ` Vest Charter WayDATE: <br /> S �- N <br /> Manteca,CA 95336 an,CA 95206 Landfill <br /> Landfill:209-982-4298 Fax:209-982-1009 Main Office:209-466-4482 <br /> Resource Recovery:209-982-4298 Fax:209-466-1067 TRUCK LIC#: 9999 S.Austin Road <br /> Manteca, CA 95336. <br /> CUSTOMER N07 ( /.. TRUCK N "f . "f TRAILER LIC#: Phone(209)982-4298 <br /> Fax 209 982-1009 <br /> BILL TO: _ A_ <br /> E NO. <br /> SIZE YDS DESCRIPTION NOTES <br /> Ck") ❑REFUSE r VE EQUIPMENT <br /> CIQ ❑TREATED WOOD � (.' �, <br /> LJ SLUDGE ` r GROSS OR o ARD HAT <br /> C1 ASH <br /> C Y <br /> Q ASBESTOS r TARE <br /> v ; ❑NON-FRIABLE ASBESTOS <br /> F <br /> 11 <br /> SOIL - <br /> ❑STOCKPILE e f NET <br /> 1�3TONS I a <br /> 1 . <br /> IN AM 1 PM <br /> Si ne OUT ... . . 'AM 1 PM <br /> -DISPOSAL ❑SLUDGE . <br /> ❑CONSTRUCTION ❑WOOD <br /> ❑DEBRIS ❑OTHER <br /> ❑SPECIAL WASTE <br /> GENERATING FACILITY Q i <br /> NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> TRANSPORTER <br /> ADDRESS % -� 3'.t'0 <br /> CITY,STATE,ZIP fl / 1 <br /> PHONE „ �]� END-DUMP __._._BOTTOM'DUMP TRANSFER: <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE RO'L'E OFF(S) FLAT-BED!.: VAN ;DRUMS -.", <br /> CUBIC YARDS <br /> k. <br /> 1 hereby certify that the above named material has been <br /> accepte�J and t0 the best of my knowledge the foregoing DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) , <br /> is true and accurate. <br /> DISPOSE OTHER <br /> ❑SOIL <br /> -� F4EMARKS ❑CONSTRUCTION <br /> DEBRIS <br /> FACILITY TICKET NUMBER 0 NO'-FRIABLE <br /> 1 � - A7'E /ASESTOS, i <br /> SIGNAT,URE OF AUTHORIZED AGENT-, _. r <br /> W? <br /> y OD <br /> U AS;H ' <br /> ❑SPECIALOTWt=R <br /> SCFIEDULIIVG MUST BE MADE PRIOR T 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL•ANY IJIVSCHEDULED LOADS ARE$UBJ>=CT > <br /> Y 'REFt1SAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAYIBEFORE 1 <br /> f <br /> GEMANIFESTerf} O "t <br /> GENERATOR COPY <br />