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ARD I N � <br /> 9999 South Austin Road P O Box 6336 °ATE <br /> E MANIFEST Manteca,CA 95336 Stockton, CA 95206 ~ <br /> Landfill (209)982.4298 Fax(209)982.1009 Main Office (209)466-4482 1 <br /> SAL FACILITY <br /> Resource R ca,�ry (209)982.4936 Fax (209)465 0631 <br /> E <br /> CUSTOMER NO TRUCK NO u l BIN NO <br /> QUIPMENT <br /> r ATOR XHARD HAT <br />' BILL TO �I I �" , f <br /> N SIZE YDS DESCRIPTION S PER YO $AMOUNT NOTES <br /> 00 ❑REFUSE _ �y <br />' fl TREATED WOOD <br /> ❑SLUDGE <br /> ❑ASH <br /> 0 ASBESTOS <br /> Q NON-FRIABLE ASBESTOS <br /> IL <br /> III SOIL �^ <br /> 1­1 (� <br /> AERATION SOIL <br /> O AIB SOIL <br /> ❑BIO SOIL <br /> ❑CONSTRUCTION$OIL <br /> 1 NDFILL <br /> TOTAL ► IN ROAD <br /> Signed --�--- IN A. M - NIA 95336 <br /> GENERATING FACIUTY (209) 982-4298 PHONE <br /> �� s ',� � t (209) 982- 1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> - <br /> ADDRESSJ <br /> • CITY, STATE,ZIP _ <br /> PHONE - -END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ - - ❑ _ _ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED --VAN DRUMS <br /> 112-4175- 13❑T _ ❑ A ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other L;j—, <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 theDiSPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notify the Disposer when site OIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste - ❑ SLUDGE I <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> _ ❑ WOOD <br /> SIG R O4AWTHJbRlZED µEM - ATE J <br /> ❑ ASH i <br /> -�� <br /> ❑ OAf <br /> THER <br /> SCHEDULING MUST BE MACE P.Fq0fi TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> UBJECT TO REFUSAL UPON APMVAL ONGOING DAILY DEUVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SCHEDULE CALL(209)982-4298 MANIFEST# 26149 <br /> GENERATOR COPY <br />