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IORWARD I NCO R P O R A T E D <br /> 9999 South Austen Road <br /> P 0 Sox 6336 GATE 19 ATE MANIFEST <br /> Manteca, CA 95336 Stockton CA 95206 3POSAL FACILITY <br /> Landfill (209)982-4298 Fax(209)982-1009 Main Office (209)466-4482 <br /> Resource 209)982.4936 Fax (209) 465-0631 1 <br /> CUSTOMER NO _ I TRUCK NO 4 ` ( ' SIN NO J <br /> E EQUIPMEN , <br /> ` 1 ),PIRATOR HARD HAT <br /> BILL TO t� <br /> 0- 1 1� IST\� -{_ ' <br /> �- <br /> LO <br /> C\j <br /> SIZE YDS DESCRIPTION $PER YD� $AMOUNT NOTES <br /> Q REFUSE <br />,00 Q TREATED WOOD <br /> Q SLUDGE r'- <br /> Q ASH �l <br /> Q ASBESTOS �^ <br /> 0 NON-FRIABLE ASBESTOS <br /> Q II SOIL <br /> ❑III SOIL <br /> 0 AERATION SOIL " <br /> Q AtO SOIL <br />' r QCO SOkR <br /> 1 Q CONSTRUCTION SOIL <br /> LANDFILL <br /> TOTAL ► J,9TIN ROAD <br /> Signed`' IN l L amfflW )RNIA 95336 <br /> 9 GENERATING FACILITY - _ - - _ _ 982-4298 PHONE <br /> {{__ 1 ��hh (]OO 1 (209) 982- 1009 FAX <br /> NAME _ _ _ NOTES _ TRUCK NUMBER <br /> ,e=t� _ To-T_juin Go &An{- S� 9 <br /> • ADDRESS (� <br /> 63 rO =— <br /> CITY, <br /> CITY, STATE,ZIP - <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ?O - - - ®} Cl El <br /> SIGNATURE OFF AUTHORIZED AGENT OR DRIVER DATE_ ROLL-OFE(S) FLAT-BED VAN DRUMS <br />■ FORWARD INC, LANDFILL CUBIC YARDS - <br />■ `7 <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 810 AERATE STOCKPILE OTHER <br /> waste for any reason if Forward's refusal to accept the waste is based on t-}SOIL <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 /> NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER _ <br /> ❑ WOOD <br /> SIGNRE OF AUTHORIZED AGENT DATE <br /> �/ ❑ ASH <br /> 7� ' ' f ►J ❑ 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 S 13 6 <br /> GENERATOR COPY <br />