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F O R WARD I N C O R P O R ATE D <br />' 9999 South Austin Road _ �# -`---' TE MANIFEST <br /> P 0 Box 6336 DATE t9T� <br /> Manteca, CA 95336 Stockton, CA 95206POSAL FACILITY <br /> 23298 Fax(209)982-1009 Main Office (209)466-4482 <br /> Landfill (209)98 <br /> Resource Recovery (209)982-4936 fax (209)465-0631 <br /> CUSTOMER NO 2- TRUCK NO `^~ <br /> _ BIN NO VE EQUIPMENT <br /> _ PIRATOR ®HARD HAT <br />' <br /> BILL TO <br /> r l <br /> /� I�C 1 I ,� 1 , ' Irk •--�� ..�..L��r. S <br /> I! E r rr <br /> T^i7 SIZE YDS DESCRIPTION a PER YD S AMOUNIT NOTES I <br /> ❑REFUSE <br /> ❑TREATED woaD <br /> Q SLUDGE <br /> ❑ASH <br /> ❑ASBESTOS <br /> ❑NON I°FilA6LE ASBESTOS <br /> .'If SOIL <br /> Q ill SOIL <br /> CI AERATION SOIL -- <br /> 0 AIB SOIL <br /> C3 BIO SOIL <br /> C3 CONSTRUCTION SOIL . LANDFILL <br /> on <br /> IOTA USTIN ROAD <br /> 1 <br /> Signed <br /> �. IN �- <br /> � = ararP M ORNIA 95336 <br /> GENERATING FACILITY _ _ .==F,!98 PHONE <br /> Aj <br /> Yes o { ��„� (209} 982- 1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> ADDRESS <br /> • CITY,STATE,ZIP <br /> • �frc � C� C,4j - - <br />' PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER fDA/TE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> El <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste If weather or other <br /> conditions Impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (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 DISPOSE B10 AERATE STOCKPILEJ OTHER <br /> waste for any reason If Forward's refusal to accept the waste is based onSOIL <br /> weather 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 /> NOfJ-FRIABLE <br /> r ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATiJRE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> i{ � t_ i c( ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 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 /> TO SCHEDULE CALL(209) 982-4298 MANIFEST # 2 613 8 <br /> GENERATOR COPY <br />