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F O R W A R D INN C O R P O R ATE D <br /> I <br /> I 9999 South Austin Road P O Sox 6336 GATE TE MANIFEST <br /> I Manteca CA 95336 Stockton CA M206 <br /> Iiridfill 1209)982-4298 Fax 1209)982-10o9 Main Office 1209) 466-3482 EPOSAL FACILITY <br /> r Resource RCYE1.r209)982-4936 Fax (2091 465-0631 i <br /> . � ;ry ; it p <br /> CUSTOMER NO � � <br /> TRUCK NO SIN N4 <br /> ' E EQUIPMENT <br /> -Z PIRATOR HARD HAT <br /> SILL TO <br /> 5 <br /> Sid£YO$ DESGRIPTioN S PER YO 3 AMOUNT <br /> NOTES <br /> FF.F:IJ.SB <br /> Q TREATM WOOD j <br /> ❑SWDCaE <br />' ASH <br /> 0 w <br /> ASBESTOS � <br /> Q NON*RIABLE ASBESTOS I <br /> ( � II_ <br /> 17 nl sQlt. <br /> AEfiATiON SDR <br /> "~ <br /> 1J N8 SOIL - --.• �_ <br /> C 810.SOIL <br /> C7 CONsraucnoN so <br /> LANDFILL <br /> TOTAL • bSTIN ROAD <br /> Signed to <br /> GrE1 IN !' ,�,,� ORNIA 95336 <br /> NERATtt�fFACILITY - _ _ _ - (209) 982-4 98 PHONE <br /> (209) 982- 1009 FAX <br /> NAME <br /> MaTES.: TRUCK NUMBER.-- <br /> - <br /> Joa 9 U ek rUA17 <br /> ADDRESS- - r <br /> I � <br /> _ Zr/rp� ��+� <br /> CITY1,STATErZIP <br /> ,tom_ <br /> PHONES END DUMP T BOTTOM DUMP- TRANSFER <br /> El El <br /> SIGNATURE OFAUTHORIZE7 AGER?-OR DRIVER DATE ROLL-OFF(S) FLATBED VAIZ7'__DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> • conditions Impair the sate and etfective disposal of the waste or ir the waste 171SPOSALMETHOD= (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 RISPOSE BIO AERATE SIDCKP11_E OTHER <br /> waste for any reason If Forward's refusal to accept the waste is based on <br /> weather or other site conditions Forward shall notify the Dlspeser 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 /> FACILITY TICKET NUMBER AsaEsras <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> Q ASH <br /> l ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 OQ P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> 1O SCHEDULE CALL (209) 982-4298 MANIFEST * 26139 <br />