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F o R w g R p N-HAZARDOUS WASTE MANIFEST <br /> 4499 South Austin Road I N C R P p R g T E p <br /> +�� ManteclZ CA9953 6 P O e P L FACILITY <br /> landfill � , ox b336 <br /> 298 Fax{209}982 1009 Brockton CA 95206 DATE / - <br /> Resource R�01�Y !209)9824936 Main Office f209)466-4 482 19� <br /> Fax (209)411 <br /> CUSTOMER NO PIPMENT <br /> TRUCK NO f J` <br /> TOR C1HARD HAT <br /> MIN NO <br /> / <br /> BILL TO <br /> CV SIZE YDS <br /> OE8CRIP710 <br /> M Q <br /> W REFUSE $PER VD ! <br /> TREATED WOOD $AINDUNT f � <br /> o SLUDGE NOTES <br /> Q ASH <br /> .13 ASBESTOS <br /> ❑NDN.FRIABLE ASBESTOS <br /> aruSOIL fr _ <br /> ❑AERA noN SOIL <br /> IC33 A!B SOIL <br />' r CO SIL [ANDFILL <br /> Q 1 CONSTRUCTION SOIL L <br /> STI N ROAD <br /> ToTAL . RNIA 95336 <br /> Slgri� <br /> GENERATING FACILE1N ��% �l/� 8 PHONE <br /> ��A MJAIVR 009 FAx <br /> NAME NOTES TRUCK NUMBER <br /> ADDIS <br /> • � � � � � �!I`Gam-�� !��``�. <br /> CITY,STATE ZIP _ <br /> PHONE -_ - END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> 7 - - ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other j <br /> conditions impair the safe and effective disposal of the waste or of the waste DISP08AL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the landfill Forward shalt use <br />�I reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE -1310 AERATE STOCKPILE OTHER <br /> waste for any reason If Forward's refusal to accept the waste is based on SOIL <br /> weather or other site conditions Forward shall notify the Disposer when sde <br /> • conditions are expected to change such that Forward will be able to acce t <br /> the waste _ ❑ SLUDGE <br /> REMARKS <br /> r� NON-FRIABLE <br /> ASBESTOS <br /> FACILKY TICK UM ER <br /> ❑ WOOD <br /> SIGNAT}f 01 AU RID AGENT / DATE <br /> E] ASH <br />' c� ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR.�O 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON <br /> TO SCHEDULE CALL(209) ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY/�BEEFORE <br /> MANIFEST# 26 "r T <br /> GFrtFRATnR GC]tav <br />