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FOR W A R D i N <br /> DAT£ - ~ r 1 <br /> 9999 South Austin Road PO Box 6336 -- -t ts;,� TE MANIFEST <br /> Manteca, CA 95336 Stockton, CA 95206 POSAL FACILITY <br /> Landfill (209)982-4298 Fax(209)982-1009 Main Office (209)466-4482 <br /> Resource (209)982-4936 Fax (209)465-0631 <br /> CUSTOMER NO TRUCK NO BIN NO <br /> -- � EQUIPMENT <br /> IRATORC]HARD HAT <br /> BILI.TO <br /> Q r } t`yxv+► <br /> NSIZE YDS DESCRIPTION 5 PER YD $AMOUNT NOTES <br /> 00 0 REFUSE t i <br /> 0 TREATED WOOD �- <br /> 0 SLUDGE w <br /> 0 ASH <br /> 0 ASBESTOS �j { <br /> 0 NON FRIABLE ASBESTOS <br /> ❑II SOIL <br /> ❑!li SOIL <br /> 0 AERATION SOIL - - <br /> 0 AIB SOIL <br /> ❑BIO SOIL <br /> ❑CONSTRUCTION SOIL i <br /> f <br /> � (LANDFILL <br /> TOTAL 0- ISTIN ROAD <br /> IN CIM -W RNIA 95336 <br /> GENERATING FACILITY _ _ - __ _ _ _ (209) 982-4298 PHONE <br /> Pa61;C wo'-14S mo+o Pao / (209) 982- 1009 FAX <br /> NAME _ -NOTES TRUCK NUMBER <br /> na� ulri �04 ^.-J 1 <br /> ADDRESS _ J <br /> CITY,STATE, ZIP <br /> CA <br /> • PHONE w _- - _ END DUMP BOTTOM DUMP - TRANSFER <br /> - - - - <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) F1:A BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <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 BIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste Is based on <br /> SOIL <br /> weather or other site conditions Forward shall notify the Disposer when site t/ <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 /> SIGNATURErOF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> Lr -</— ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SU JECT O REFUSAL <br /> (P 98 ARRIVAL <br /> ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> MANIFEST# 26137 <br /> GENERATOR COPY <br />