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09/05/97 16:16 FAX 209 465 0631 FORWARD INC. 2 006 <br /> r -L U.�a r►.1 k.L .,. -- - — <br /> I N(:URI'(fT E d) WASTE TREATMENT AN OSAL FACILITY <br /> ACCEPTANCE No. <br /> GENERATOR /� I:=a UIRED PERSONAL PROTECTR/E EQUIPMENT <br /> 7IP— `qg L I; r GLOVES OGGLES❑RESPIRATOR (ARD HAT <br /> MAILING ADDR&SCA <br /> `:r.=,.t'.!:I"K•!!!P'a <br /> Y-VEK OTHER <br /> CITY,STATE,�P ::` uail�u �,xr :6 SPECIAL HANDLING PROCEDURES: <br /> 0 4rPg7a--a, ::: <br /> SIGMA aY U 4 O D ENT I TITLE DATE <br /> WASTE TYPE RECEIVING FACILITYC3 SLUDGE <br /> ❑ TREATMENT SOIL ❑NON-FRIABLE ASBESTOS FORWARD INC.LANDFILL <br /> CONST U sod p ASH 9999 SOUTH AUSTIN ROAD <br /> ❑CONSTRUCTION SOIL ❑ASH <br /> ❑OTHER MANTECA,CALIFORNIA 95336 <br /> GENERATWGFAOUTY (209)982-4298 PHONE <br /> �tfUnwln rd. {209}982-1009 FAx <br /> NAME �1,��,�� ba .x'NOTES: TRUCK NUMBER <br /> ADDRESS <br /> CITY,S7ATE,zIP ;� ! <br /> PH l END DUMP BOTTOM DUMP TRANSFER <br /> SIG RE AUTHORIZED DRIVER DATE "ROLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC.LANDFILL CUBIC YARos <br /> Forward shalt hove no oblIWIon b accept the waste I weather or other <br /> conditionlapel the safe arm effe*m of"waste or I ttm waste L METHOD (TO COMPLETED BY f ) <br /> Impala IIIe sale and effective of tiff l.arvoll.Forward afad tme <br /> re etforls to promptly notify of tte 1e17Rlty to accept the «;'e'' �SPOSE 8f0 AERATE On•ER <br /> waste for raw reason.I Forward's to accept Ile waste la based on <br /> weaflmr or other see owuNtlom Forward nxify ft Disposer when site 1L <br /> ° caddlorro are ted to ch arch OW Forward will be able to accept <br /> the waste. �y ®SLUD13E <br /> • ... ... mA,[lPlel.?4T,�i1F+ rr.`•,:m Y'.',n .kT <br /> NON [ABLE <br /> FACILITY TN B °• <br /> ❑WOOD <br /> • SIGN OF ZED <br /> f•' �� ::.' (j ASH <br /> ❑OTHER <br /> SCHEDULING MUST BE MADE PRKKTO 4:00 P.M.THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> I <br /> TO SCHEDULE CALL.1209)982-4298 m mmuT 6 2 7 2 7 <br /> i FORWAROWC COPY. <br /> I N C O R P O R A T E D 8tT@ TICKET GRID <br /> 1 9999 South Austin 111014M ICHINC LOG7ION F.O.Sox 6336 42 +?c,�•2v C Ft <br /> Manteca,CA 94336 3laCiten.q 95Y06 WEIGHMA$TER + <br /> 1 landfill:1269)962-4296/WHGHtNG iag7toN Mato Office;(m9)466.4482 � <br /> Resource Recovery:(209)902.4936 F;QM 465-46M S. MAC I EL <br /> � r <br /> 614021 DATE IN TIME W E <br /> I T CORPOkATION ?S/19 97 14:47 j <br /> SYDNEY GEELB <br /> 4585 PACHECHO BLVD DATE OUT TIME OUT <br /> MARTINEZ CA 94553 %x9/19/97 14:48 I <br /> VEHICLE ROLL OFF REFERENCE ORIGIN � <br /> RENFF.R'86 614021 PACIFIC BELL <br /> f Manual Bross Weight 71340 ' LB Inbound - Charms ticPst <br /> Manual Tare Weight 30100L8 <br /> Net Weight 41200 LH 4 <br /> QTY DESCRIPTION AMOUNT <br /> 24-1. i= Cover Class II.Ton <br /> per Tants' I <br /> i <br /> mISHMAEIER CIRTaICAN tH$tl 10 CEIIOFY Rwt Rw <br /> dasWad Wor Insaased,p Ca1R1)@tl�•a wal0hmorler,Meso <br /> 71erWfuro d an era cenacnla,Mq k a IOCOQilkad aeMgM1P�ocaVfoCY=07 Rr�lbed tM OmPfer 7 kannBnctrp Mar 4ackan 17706)d OHabn 5 W � <br /> mo CallfomlaaWrrea ane sacro>iorocotls. pyR>siplrh6naMa�aemm+fMarq�OeaRwC�fallo Oapodrrmnl afimdand n{pitusva. <br /> Manifest M 62727 NET AMOUNT <br /> Truck It SP34050 <br /> F.,0. # NONE <br /> T I-a i Is 1' # 8.8.97 TENDERED <br /> ichedule 24 hours in advance directly with the landfill. <br /> I Cmll (219)992-4E98 to Schedule. <br /> li+-K'.? •'sfal �+ + CHANGE <br />