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� FO R R-D I <br /> DATE= <br /> P O Box 6336 1g i <br /> 9999 South Austin Road TE MANIFEST <br /> Manteca,CA 95336 Stockton,CA 95206 <br /> Landf1IlIQMaQ 4,298 Fax(209)982-1009 Main Office (209)466-4482 <br /> Resource Recovery (209)982-4936 fax (209)465-0631 OSAL FACILITY <br /> CUSTOMER NO TRUCK NO BIN NO <br /> EQUIPMENT <br /> 'IRATOR ®HARD FEAT <br /> 1 ff f y <br /> BILL TO . �� s I f r' l 4 { f F 1 i (l t 4ti <br /> l <br /> E <br /> SIZE YDS DESCRIPTION s PER YD $AMOUNT NOTES <br /> CM <br /> *REFUSE00 i <br /> 0 TREATED WOOD (.1 _ <br /> ❑SLUDGE ' J <br /> (]ASH <br /> O ASBESTOS <br /> d NON FRIABLE ASBESTOS "' I <br /> IL <br /> III SOIL <br /> O AERATION <br /> ION SOIL <br /> ❑AIB SOIL <br /> ❑610 SOIL <br /> a CONSTRUCTION SOIL <br /> �� �_ANDFILL <br /> TOTAL • TI N ROAD <br /> t <br /> Signed '� �' IN �� i'A.MdP M NIA 95336 <br /> GENERATING FACILITY _ _ (209) 982-4298 PHONE <br />' (209) 982- 1009 FAX <br /> �v�/,c �ip�,�s ,�✓io�of pdc � <br /> NAME NOTES TRUCK NUMBER <br /> 5("4 <br /> ADDRESS_ i r�lr uih �4U✓� <br /> • CITY,STATE,ZIP <br /> - <br /> PHONE Y t=ND D,JMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE` ROLL-OFF(S) __FLAT-BED_ VAN DRUMS <br /> FORWARD INC. LANDFILL CUBI ARDS _ <br /> Forward shall have no obligation to accept the waste If weather or other <br /> conditions 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 _810 AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste Is based on <br /> weather or other site conditions, Forward shall notify the Disposer when site SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS-_ - - — NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TI N 8 i R <br /> ❑ WOOD <br /> SIGNA 6R�Oif/UTHC�IZED ENT ATE_ - <br /> // ❑ ASH <br /> 7�C / /I�` .� ! f��� ❑ OTHER <br /> i <br /> SCHEDULING MUST BE MADE PRIOR TO 4 Cho P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL,ONGOING DAt E VERfI�S MU T BE SCHEDU D WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(249)982-4298 - 7 9 MANIFEST # 26148 <br /> III lll,,��{/// f�� TT [f <br /> GENERATOR COPY "` <br />