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' F O R W g R p I N C O R P q <br /> 9999 South Austin Road DATE �STE MANIFEST <br /> Manteca, CA 95336 Stockton O Box 6336 tg � <br /> LanaSll (209)982-4298 Fax(209)982.1009 MainOffce (209) 466-4482 SPOSAL FACILITY <br /> Rewl`m Recovery (209)982-4936 Fax {209)465-0631 <br /> Y <br /> CUSTOMER NO l ! � TRUCK NO <br />' y SIN No JE EQUIPMENT <br /> 1 SPIRATOR ®HARD HAT <br /> BILL TO <br /> 1 size yos DESCRIPTICN S PER YD s AMOUNT NOTES <br /> ❑REPFJSE <br /> 0 TRE4TM w000 <br /> 13 SL OGE �I I <br /> 131 Asia <br /> O ASBESTOS <br /> CI NON-M ABLE AWESTM <br /> -.211Ir salt. - <br /> 7 III SOIL <br /> AERATSON sol <br /> 13 A08 SO4L <br /> CI alo soft <br /> ❑CONSTRl1CT1014 SOIL <br /> ►. LANDFILL <br /> TOTAL/i- USTIN ROAD <br /> Signed IN A Mia [O RN IA 9 5 3 3 6 <br /> GENERATING FACILITY - _ v. _ _ X98 PHONE <br /> //u o ( c tU0 y e-s f or'-�{ 1000 (209) 982- 1009 FAX <br /> NAME -_ -- r - - _M ' _ _ �' NOTES—z- r _ _ -TRUCK NUMBER' <br /> ADDRESS? T <br /> i <br /> C1Tf,.STATF_= ZIP', <br /> PHONE - �' -1- _ - _. -- r LL z END DUMP`- - _ BOTTOM DUMII- _ TRANSFER <br /> Cl <br /> SIGNATURE OF-AUTHORIZED"AGENT OR DRIVER. DATE - ROLL-0FF(S) -: FEAT 8ECF- - VAN' '„ DRUMS' _ <br /> Cl 11 0 <br /> FORWARD INC. LANDFILL CrJBICYA,`Ds - <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 DISPOSALMETHOD:7 (TO BECOMPLETED SY FORWARD) <br /> smpairs 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 SMCKPU OTHER <br /> waste for any reason if Forwards refusal to accept the waste Is based on t--� <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 <br /> • NON-FRIABLE <br /> _ ASBESTOS <br /> FACIUT( TICKET NUMBER <br /> E] WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASM <br /> ❑ OTHER <br /> 3C.4EDUUNG MUST BE MADE PRIOR TO 4 00 PM THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> 1BJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> —C SCHEDULE CALL (209) 982-4298 MANIFEST * 2 613 8 <br />