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A R D IN C O R P O R A T E D .-- <br /> 9999 South Austen Road P O Box 6336 <br /> DATE -�-�-� `fit=- TE MANIFEST <br /> Manteca, CA 95336 Stockton,CA 95206 <br /> Landfill (209)982-4298 Fax(209)982-1009 Main Office (209)466-4482 POSAL FACILITY <br /> Resource R209)982-4936 Fax (209)465-0631 <br /> CUSTOMER NO ` TRUCK NO ( ` f BIN NO <br /> E EQUIPMENT <br /> V r PIRATOR HARD HAT <br /> BILL TO <br /> I I <br /> CD <br /> T-4 <br /> N SIZE YDS DESCRIPTION $PER YD $AMOUNT NOTES <br /> O REFUSE S-F <br /> D TREATED WOODE3 SLUDGE <br /> SLUDGE 1 1 <br /> 13 ASH <br /> ❑ASBESTOS �,�� <br /> ❑NON-FRIABLE ASBESTOS <br /> DIL <br /> t,��•� 13 IR SOIL <br /> Q AERATION SOIL <br /> C3 A/B SOIL <br /> 0 BIO SOIL <br />' n CONSTRUCTION SOIL LANDFILL <br /> TOTAL ► STIN ROAD <br /> ` ..,. trs r1 <br /> sl9"�a � �f f��. (N r*,.. I L� Al11JPM RNIA 95336 <br /> GENERATING FACILITY _ _ _ (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> _roll h L yi <br /> ADDRESS <br /> • CITY, STATE,.ZIP <br />' PHONE �7 tj �1 r { ` END DUMP BOTTOM DUMP TRANSFER <br /> �L_o9) - "7 a 1Qn b, ❑ ❑ -- 11 <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE, ROLL-OFF(S) FLAT-BED VAN DRUMS <br />' FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste If weather or other ' <br /> condltlons Impair the safe and effective disposal of the waste or If the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> Impairs the safe and effective operation of the Landfill Forward shall use <br /> reasonable efforts to promptly notify Disposer of Its Inability to accept the DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forward's refusal to accept the waste Is based on ® 501L <br /> weather or other site conditions, Forward shall notify the Disposer when site <br /> ` <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGP�TWRE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br />' ^r 1 E] OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> rSUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209) 982-4298 MANIFEST # 26139 <br /> GENERATOR COPY <br />