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F O R W A- �— j <br /> i 9999 South Austin Road PO Box 6336 DATE ; <br /> -Manteca, G� 95336 Stockton G 95206 <br /> E MANIFEST <br /> Landfill 1209]982-4298 Fax(209)9821009 Main Office 42091 466-4482 ]SAL FACILITY <br /> eC�y'(209)982-4936 Fax f209)465-0631 <br /> f_ J <br /> CUSTOMER NO --'� —� TRUCK NO -� 1 BIN NO <br /> IQUIPMENT <br /> II IATOR XHARD HAT <br /> BILL TO <br /> �!qO <br /> DEscRIP ON $PER YD S AMOUNT NOTES <br /> 11100 <br /> � EFUSE _ <br /> REATED WOOD rt 1 <br /> LUDGE , <br /> SH <br />' ❑ASBESTOS jf <br /> Q NON-FRLABLE ASBESTOS <br /> C.► a r- <br /> In sort <br /> 13ar=R-TION sort C L <br /> Q A/15 SOIL <br />' ❑BIO SOIL <br /> CONSTRUCTION SOIL <br /> �NDFILL <br /> TOTAL ► <br /> TIN ROAD <br /> Signed - IN x_- ` ' ( - NIA 95336 <br /> - E w.>r.rr <br /> �ENM"NG F:ACILMY' - (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME NCTESr _ - TRUC -NUMBEF�, <br /> �. _ " " � ... <br /> ADDRESS <br /> CTYY STATS ZIP' <br /> PHONE END DUMP BOTTOM DUMP_z_- TRi4NSF{=Ft - <br /> IGNATURE OFALrMORIZE/��AGE—W OR DRIVER - DATE � ROCt-07(S) -- FLAT-BED- VAN <br /> Cl El <br /> EL <br /> FORWARD INC. LANDFILL CJBICYARDS_ <br /> Forward shall have no obligation to accent the waste If weather or other ?1 <br /> conditions impair the safe and erfectrve drsposai of the waste or if the waste DISPOSAL METHOD. (TO BE COMPLETED 8Y FOPWARDy <br /> impairs the sane and effective operation of the Landfill Forward shall use <br /> reasonable stforts to promptly notify Disposer of its Inability to accept the _ DISPOSE BIO AERATE STWG:ir E OTHER <br /> waste for any reason If Forwards refusal to accept the waste Is based on <br /> weather or other site condabons Forward shall notify the Disposer when siteOIL <br /> conditions are expected to change such that Forward Aida be able to accept <br /> the waste <br /> k _ [I SLUDGE <br /> REMARKS _ <br /> ❑ NON-FRIABLE <br /> ACILITY TICKET NUMBER ASBESTOS <br /> /" ❑ WOOD <br /> R 0 A THORIAZ=EEDD TE <br /> ASH <br /> OTHER � <br /> /�/ ❑ OTHER ` <br /> THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOAS ARE <br /> EDUCING MUST 8E MADE P RTO 400 P.M <br /> • D1 <br /> 'ECT TO REFUSAL UPON A RIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SCHEDULE CALL(209)982-4298 r� <br /> 4eenn=c-r � <br />