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' F O R W A R D f N <br /> 9949 South Austin Road PO Sox 5336 o"TI; � 'g�-• `TE MANIFEST <br /> Manteca, G1 95336 Stockton CA 95246 <br /> Lanafiil (209)982-1298 Fax(2gg)982-i009 stain Office (209)466-4482 POSAL FACILITY <br /> Resou��eeovery (209)9824936 Fax (209) 465-0631 <br /> CUSTOMER No TRUCK NO ti SIN NO <br /> ' EQUIPMENT <br /> IRATOR HARD HAT <br /> BILL TO <br /> `r-vw <br /> SIZE YDS, DESCRIPTION 5 PER YO 5 AMOUNT NOTES <br /> ❑REFUSE - <br /> Q TREATED V400D <br /> Q SLUDGE <br />' 4 ASN <br /> 4 A58ESTOS <br /> O NON-FRIABLE ASBESTOS <br /> (� Q II SOIL <br /> Q 11 SOIL <br /> Q AERATION SOIL <br /> n Ara SOIL <br /> as SOIL <br /> 0 CONStAUCTION SOIL <br /> ' r LANDFILL <br /> TOTAL 0-L ISTIN ROAD <br /> signed %�•` { , IN )RNIA 95338 <br /> GcNERATiNCFACIf1T`l_r _ i (209) 982-4298 PHONE <br /> Pu �ltc ,v0,-SLS hto r AC / (209) 982- 1009 FAX <br /> NAMEw __ I _ aTES�_ _ w _ `- TRUCK NUMBER: <br /> T"Sq r e 4..r rl _f O 4-V%7r`t/- ---- -- -__� /^ <br /> ADDRESS <br /> 0 LF <br /> • CITY STATE 23P�_r-_ - <br /> 4" $ SSS <br /> PHONE ,r ` - - M-- �� - END DU[cABOrMK4 DUMP TRANSFER- <br /> 7 <br /> SIGNATUREOF AUTHORIZED.AGEUC OR DRIVER DATE ROLL-0FRSk =FLAT-BED VANS - DRCI{'v_!S' <br /> FORWARD INC. LANDFILL cuBICYASos.- <br /> Forward shall have no obligation to accept the waste if weather or other <br /> • conditions Impar the safe and erfective disposal or the waste or if the waste d1SPOSALMETHODz (TO SECOMPLE ED BY FORWARD) <br /> Impairs the safe and erfective operation of the Landfill Forward shad use <br /> �ISPOSE. $IO AERATE STOGCPlkE QTFtER <br /> reasonable efforts to promptly notify Oisposer of Its Inability to accept the waste for any reason If Forwards refusal to accept the waste Is based on SOILweather or other site conditions Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste - ❑ SLUDGE <br /> REMARKS _ <br /> • ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE40F AUTHORIZED AGENT DATE <br /> [❑ ASH <br /> L/� C] OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> 3•:BJECT TO REFUSAL UPON ARRIVAL,ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> T <br /> 0 SCHEDULE CALL (209) 982-4298 MANIFEST * 26137 <br />