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1 F O RWARD I NCO R <br /> P RATED UoAr� <br /> 9999 South Austin Road P O Box 6336 T9_� STE MANIFEST <br /> ,Manteca,CA 95336 Stockton CA 95206 <br /> Landfill (249)982-4298 Fax(20%982-1009 Main Office (209) 466-3482 3POSAL FACILITY <br /> I Resource Rei:UMM 209)982-4936 Fax (2091 465-0631 <br /> CUSTOMER NO r TRUCK NO �{ SIN NO I <br /> r EQUIPMENT <br /> / t �IRATOR HARD HAT <br /> BILL TO <br /> tj <br /> Q - - <br /> SIZE YDs OESCRIPTION S PER YO S AMOUNT NOTES <br /> C3 REFUSE <br /> a TREArt:D wooD <br /> a SLUDGE zf <br />' a ASH <br /> d ASBESTOS <br /> CY NON-FRIABLE ASBESTOS <br /> � IL <br /> 1 SOIL <br />' ❑AER ___N SOIL <br /> a Ars SOIL <br /> a slo SOIL <br /> C CONSTRUCTION sol <br /> ❑ NDFILL <br />' TOTAL • ,4 i TIN ROAD <br /> Signed <br /> --� 1N ILANJPY RNIA 95336 <br /> ENERATINGFACILITY -- W (209) 982-4298 PHONE <br /> i�u �rfrC �iJ� >rl�S 0� f- <br /> /���� <br /> (209) 982- 1009 FAX <br /> NAMES- - � w � -NOTES zq ` _ - � w� RUCiCNUMBER' <br /> ADDRESS t� 5 <br /> • CiFC STATF_ZIP <br /> PHONE K END MP _ BOTTOM 17UMP ` x}TRANS <br /> SIGNATURE OE_AUTHORIZED AGENT OR DRIVER DATE ROL:-0FFF(ST -_ FLAT-BED _ m VAN'_DRUMS w <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other t <br /> conditions impair the safe and effective disposal of the waste or it the waste DISPOSALMETHOD:, (TO BECOMPLETED BY FORWARD) <br /> impairs the sate and effective operation of the Landfill Forward shall use - <br /> reasonable efforts to promptly notify Disposer of Its inability to accept the = DiSPOS BIO- 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 /> s <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE OF AU-rHCRIZED AGENT DATE <br /> ❑ ASH <br /> '> I ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL * ANY UNSCHEDULED LOADS ARE <br /> S,A3JECT TO REFUSAL UPON ARRIVAL. ONGOING GAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> �0 SCHEDULE CALL (209) 982-4298 MANIF>z57 * 26141 <br />