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f V j 1 <br />' 9999 South Austin Road P O Box 6336 DATE TE MANIFEST <br /> Manteca,CA 95336 Stockton, CA 95206 <br /> X209)982.4298 Fax(209)982-1009 Main Office (209)466-4482 POSAL FACILITY <br /> Resource Recovery (209)982-4936 Fax (209)465-0631 <br /> CUSTOMER NO TRUCK NO _ BIN!NO <br /> EQUIPMENT <br />' IRATOR ❑x HARD HAT <br /> BILL TO f <br /> z ! <br /> SIZE YDS DESCRIPTION S PER YD S AMOUNT NOTES <br />' <br /> M C3 REFUSE W Q TREATED WOOD <br /> 0 SLUDGE <br /> 0 ASH <br /> ❑ASBESTOS ; <br /> O NON-FRIABLE ASBESTOS <br /> _❑ Y SOIL <br /> VIII SOIL <br /> 1 ❑AERATION SOIL r <br /> ❑Ale SOIL <br /> ❑BIO SOIL _ <br /> r ❑°°"STR"CT'°"SOIL <br /> LANDFILL <br /> TOTAL ► ISTIN ROAD <br />' <br /> Signed / _ _ IN I ' 1 RL RNIA 95336 <br /> ._.� <br /> GENERATING FACIUTI", ___ _ _- _ _ _ _ �. _-_` i (209) 982-4298 PHONE <br /> 1-5 1"1,11VP50 (209) 982- 1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> ADDRESS57 <br /> _ �l <br /> • CITY,STATE,ZIP <br /> Sf�G,E f4�� C4 - <br /> PHONE _END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) _ FLAT-BED VAN DRUMS <br /> * k 1:1 0 , - <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste If weather or other U <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 DISPOSE BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of Its inability to accept the <br /> waste for any reason If Forwards refusal to accept the waste Is based on IL <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 accep <br /> the waste ❑ SLUDGE <br /> � REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY]1CKE;FNUMBER <br /> ❑ WOOD <br /> SIGN& 'Ef'¢F AUFTHORIZgD AGENT y DATE <br /> �l�r i�"/ {�/� f�� � - � /rte,. ❑ ASH <br /> ❑ 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 8E SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br />' TO SCHEDULE CALL(209) 982-4298 26154 <br /> MANIFEST # <br /> -- - -- — GENERATOR COPY <br />