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F S R A R D I N R P R q _ <br /> 9999 South Austin Road PO Box 6336 DATE `� MANIFEST <br /> Manteca G 95336 Stockton G 95206 <br /> -_ _tdndfill (209)982-4298 Fax(209)982-1009 Main Office (209) 466-4482 AL FACILITY <br /> ��Kesource Recovery (209)982-4936 Fax (209)463-0637 f <br /> T CUSTOMER NO TRUCK NO BtIV NO <br /> r 1UIPMENT <br /> f ATOP ;©HARD HAT <br /> 5 <br /> BILL TO--- <br /> M <br /> O '" ✓� �i ; ( r I i <br /> r <br /> I <br /> sIzr=Yos DESCRIPTION $PER Yb s AMOUNT NOTES <br /> :::�:FC3 <br /> REFt1SE <br /> REATED WOOD <br /> LUDGESH ' — <br /> G ASBESTOS / I <br /> 4❑ RIBLE NON-FAASBESTOS G "� <br /> tL <br /> tI in <br /> SOtL <br /> 3 AERgI10N SOIL F <br />' A/8 SOIL <br /> D BTO SOIL <br /> SO <br /> ❑CONSTRUCTION <br /> L - t\NDFILL <br /> 1 TOTAL ;TIN ROAD <br /> NIA 95338 <br /> Signed IN <br /> GENERATING FACILITY - PHONE <br /> vJ or k s i+\ 71'< 1 (209) 982- 1009 FAX <br /> NAME w _- NOTES --ry— - - - TRUCK NUMBER- <br /> So-n. Q L _ <br /> ADDRESS' <br /> • CITY,STATE_7l]7 <br /> �_L� U <br /> PHONE _ - END DUMP 60170W DUMFRr' " TRANSFER <br /> R5 0 Cl <br /> +SIGNATURE-OF AUTHORIZED AGENT OR DRIVER DATE ADLL-0FI=(8) _ - FIAT-BED VAN_ DRUMS <br /> FORWARD INC. LANDFILL CUBIC_Y�a <br /> Forward shakl have no obligation to accept the waste Ir weather or other <br /> • conditions impair the sate and erfectrve disposal of the waste or if the waste DISPOSALMETHOQ (TO BE COMPLETED BY FORWARD) <br /> impairs the sate and erfectnre operation of the Landfill Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the SPOSE 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 01L <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 /> C3 WOOD <br /> SIGNATURE OFF A(JTHOR1= A,6EN t- DATE <br /> i / ❑ASH <br /> ( /ter✓I _- 11 �r� I�� '�< ❑ OTHER <br /> 3CHEDUUNG MUST BE MADE PRIOR TO 4 001 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULE€? LOADS ARE <br /> ,jEJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDRLL THE DAY BEFORE <br /> I C SCHEDULfi CALL(249) 982-4298 MANIFEST * 26135 <br />