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09/05/97 16:15 FAX 209 465 0631 FORWARD INC. _ 005 _ <br /> X <br /> Y 1 V 1!OBACCEPTANCENO. <br /> ll\!1 <br /> �' I N C(D R tA <br /> WASTE TREATMENT OSAL FACILITY <br /> GENERATOR A;i e 1}3L r Sh- U83EDPEIMNAL PROTECTIVE EQUIPMENT <br /> I GLOVES GGLES❑RESPIRATOR NIHARD HAT <br /> MAKING ADIBS `> "t,e� i TY-VEK ❑OTHER <br /> CITY,STATE Z 'T`''' ' ?ra? SPECIAL HANDLING PROCEDURES: <br /> .C & R§OoT151 <br /> R"�v— 6= <br /> Tana: <br /> �TITLE., OATS <br /> 'A-0 TYPE.. RECEIVING FACILITY <br /> [] SLUDGE <br /> ❑ <br /> TREATMENT SOIL ❑NON-FRIABLE ASBESTOS FORWARD INC.LANDFILL <br /> • DISPOSAL soy ❑ 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL ❑ASH ASH <br /> ❑OTHER MANTECA,CALIFORNIA 95336 <br /> GENERATINGFACILITYQXej Sr (209)982-4295 PHONE <br /> q0If4�r ) �, (209) 982-1009 FAX <br /> '3tOC�1U'? CA <br /> NAME NOTES: TRUCK NUMBER <br /> ADDRESS '.l.. r.: x J°," r <br /> 57 <br /> asx �; oL�rd,,Sul <br /> IZ <br /> CITY SATE, x9cr� (1QL <br /> PHON !i,57 ^ �S' END DUMP BOTTOM DUMP TRANSFER <br /> WU6) -7A7 Ifo-. ❑ ❑ ❑ <br /> SIGNATURE , IZER... OR. — DATE77't' 7 ' El <br /> FLAT-BED VAN DRUMS <br /> �c tY ❑ ® ❑ ❑ <br /> FORWARD INC.LANDFILL CUBIC YARDS <br /> Farwad shall have no obligation to accept the waste if weather or otter <br /> cardilfons snpair the safe and et(edMe disposal W the waste or B the waste p1SPOSAL METHOD (TD BE COMPU=TED BY FORWARD) <br /> Mohs the sate and effective of the Ladfill.forward"vee .7 1 <br /> reasonable titans W fto81Y r 09 IS atebiilty to the SPOSE BIO JAERME OTHER <br /> waste for any reason.0 Foward'a rekmal to accept the wool@ Is based aniL <br /> weartmr or other site c Forward Wali)notify the Disposer when site <br /> conditions are expected to shame each that Forward will be We to accept <br /> ate waste. ..❑ E <br /> LREMARKSNON-FRA&E <br /> ASBESTOS <br /> FACMJ7; ❑WOODUTio&ME <br /> Q-ASH <br /> SCHEDULING MUST BE MADE PRIOR TO COO P.M.THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE <br /> SUBJECT 1'0 REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE <br /> ryDAAYBEFORE, <br /> 29 <br /> TO SCHEDULE CALL(2091982-48 MANIFEST 6 /2 6 i <br /> FORWARDINC.COPY <br /> t-llnvvtiJmu.. ._.. _..JP . .. <br /> INCORPORATED SITE TICKET GRID <br /> �I 9999 South Austin Road/weiGhll+xe toCAlKm PA.Box 6336 I / <br /> Manteca,EA 95336 : Slochton,CA 95206 WEIGHMASTER <br /> Landfill:(209)982.4298/weretrremc t-ouRloN Main Offices(2o9)466.6482 V. PONCE <br /> Resource Recorerys(209)982.4936 m Fax:(209)465.06311 <br /> 61 4021 DATE IN TIME IN <br /> I T CORPORATIINd 08i22i97 12:40 l <br /> SYDNEY OEELS ; <br /> 4585 PACHECHD BLVD DATE OUT TIME OUT I <br /> MARTINEZ CA 94808 08/2a/97 Im.,f � <br /> VE CL tF <br /> FiOU.OF6 R NCE fl101N <br /> f] <br /> J i. <br /> Scale 2 Tare Weight 30540 LB <br /> Net Weight 17180 LB <br /> QT DE P AMOUNT <br /> WIn"SR4 CERTIFWAIE 1FiS S 10 CERTIFY laol ate raeawhg dataPoed crvnmadly tvw watOfrod,moonxed.a coaraed by a we�vnaslot,wnoso <br /> vioxAaa.h m"I cWtlacale.who a 0 1900fend OA*ft of xtxaacy.ar P.%Mmd by Chaph r 7(commenckV wah$action 1270 of DDAslat S of <br /> nw,Cnacx,kr fholnsn and Notenlom Code.odea ll;lmod by the DMOMW Meoeaemereslandn k of am Coaoato Depothaent of Fwd and AgiCc0m.---TMITTIT-7571 # 62726 ` <br /> NET AMOUNT !� <br /> TrjrK k SP34080 <br /> 17.0. M NO(tfE <br /> -TRAJLER p iU08145 1ENDEflE6�� <br /> ';Chtzd+.tle 84 ITcrUrW In advance directly with the landfill. <br /> (:.nil i2f:14)9£32--4298 to eChedule.T ^ <br /> D, L.•r. C,a•fryl V! ) / 7//J cliaNGE <br />