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F O RW AR D 1 N C C RPO RATE ❑ DATE_ , �' <br />' 9999 South Austen Road P O Box 6336 5TE MANIFEST <br /> Manteca,CA Austin <br /> Stockton, CA 95206 <br /> Landfill (209)982248 Fax(209)982-1009 Main Office (209)466 4482 POSAL FACILITY <br /> Resource Recdw 11209)982-4936 Fax (209) 465-0631 <br /> 8!N NO <br /> TRUCK NO <br /> CUSTOMER NO EQUIPMENT <br /> IRATOR HARD HAT <br /> BILL TO <br /> ^r") SIZE YDS DESCRIPTION $PER YO $AMOUNT NOTES <br /> [I REFUSE <br /> 00 ❑TREATED WOOD <br /> SLUDGE <br /> ❑ASH <br />' p ASBESTOS <br /> NOK-FRIABLE ASBESTOS <br /> IL <br /> 1 SOIL <br /> C3 AERATION SOIL — — <br /> [3 NB SOIL <br /> ""'0 <br /> p SOIL <br /> CONSTRUC710N SOIL <br /> �❑ ANDFILL <br /> TOTAL ► F TIN ROAD <br /> IN �# � P� NIA 95336 <br />' Signed <br /> 'GENE-RATING FACIUTY _ (209) 982-4298 PHONE <br /> 1 f <br /> Wv ►�fS l�`�oho r `oo/ (209) 982- 1009 FAX <br /> u bjf� � <br /> NAME 1 NOTES TRUCK NUMBER <br /> ADDRESS l f/ ////? z <br /> =T � f�n �V e .. u e <br /> • CITY,STATE, ZIP <br /> PHONE EN MID BOTTOM DUMP TRANSFER <br /> El <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <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 DISPOSE [3E0 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 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 /> r REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUjFIORIZED AGENT DATE <br /> II � ❑ 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 BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209) 982-4298 MANIFEST # 26141 <br /> GENERATOR COPY <br />