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09/05/97 16:14 FAX 2019, 465 0631 FORWARD INC. Q004 <br /> VtP UR 7 NON-HAZARDOU TE MANIFEST <br /> .)N C O R VA T E U WASTE TREATMENT A1911WPOSAL FACILITY <br /> JOB ACCEPTANCE•NO. <br /> GENERATE 1 R�F�UIREO PERSONAL PROTECTIVE ( t <br /> E EOENT <br /> F�.iC't�rG 181:d d ffrdOVEs KGOGGLES FIRESPIRATOR N1ARD HAT <br /> 'ESS 1�jr�X,;•�yy} /7 TY-VEK ❑OTHER <br /> WUNCITY,SIAT,U,E,�ZII,P�X� T"•.��+r� !l�I p�+d ��HANDLING PROCEDURES: <br /> PHON <br /> CON PERSON <br /> PERSON 7d_ - ' e�✓- J�UC k P I �1. <br /> SIGN k A.vs ... <br /> AGENT/TITLE DATE q'"" <br /> • WASTE TYPE RECEMNG FACILITY <br /> ❑SLUDGE <br /> ❑.TREATMENT SOIL O NO D IABLE ASBESTOS FORWARD INC.LANDFILL <br /> SPOSAL SOIL <br /> ❑CONSTRUCTION SOIL ❑ASH 9999 SOUTH AUSTIN ROAD <br /> ❑OTHER MANTECA,CALIFORNIA 95336 <br /> OENERArIPK#FACtLRY (209)982-4298 PHONE <br /> L-Incoln Y-d• (209)982-1009 FAX <br /> Mock--ton ICA <br /> NAME Cab0.!Ieno Trc,eek it*t� <br /> NOTES K NUMBER <br /> ADDRESS C/ <br /> a53v.,rr rot. ScSaev, <br /> CITY, 11/4 <br /> STATEZ <br /> ,;W <br /> PHONE San Jose ..f� . 9.5! <br /> END DUMP BOTTOM DUM TRANSFER <br /> SIGNA O IZED'AGEM'OR DRIVER DATE„ F + `ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> * ❑ ❑ ❑ ❑ <br /> FORWARD INC.LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste R weather or other . <br /> comatlorm hripair(he sale and eftedide dlapoast of Rte waste or It the wa®t® <br /> Impairs the sate mod etteaiyg opere0on oI the Landtit.Foward ehaA tore DISPOSAL METHOD: (TO BE COMPLETED BY F ) <br /> reasonable ettorta to pranptly 1rotRy to. of Oe mabltty to accept Otte NOSE AERATE 5tt�tc OIIIER <br /> waste tot mty,reason.R Farwitrd'a refusal to accept the wrote is based on <br /> wealmr or akar vire t x8tims.Irorwmd Blatt 1'gl8y the 0lepoeer when st(e OIL <br /> ° caodiilatx are expected to such that Forward wit be abb(o ace <br /> RIs waste <br /> • REMARKS.._, ;...T.,,r. ._.m, SLUDGE <br /> // NON-FRIABLE <br /> FACILITY TTCKCKBT NU E r ®A38ESTOS <br /> ❑VPQOO <br /> SI RE <br /> ❑ASH <br /> Q OTHER <br /> SCHEDULING MUST BE MADE PR TO 4:00 P.M.THE DAY PRI06R TO EXPECTED ARRIVAL a 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)ON-4290. 6 2 7 2 5 <br /> MANFEST F <br /> - _U_R _ FORWARDIItC tX�Y <br /> �`�� -IN C P U_R71 T E°_D• SITE TtCKEY GRID <br /> jA <br /> 9999 South Austin ROMIWEICMING LOCATION P.O.Box 6336 , <br /> A6Tnleca.CA 95336 Slochtan,CA 95206 WEIGHMASTER <br /> 011111 11(209)902.42981 wTraeaNG LOCATION Maln Differ.(2091466.4482 V, PL11dC1E <br /> Rewurce Recovery:4209)982.4936 Fax:(209)46S-0631 <br /> �— <br /> 61 <br /> 1E 1 DATE IN TIME IN <br /> T T GORF'ORATION 08/22/97 <br /> SYDtJEY GFELS ; <br /> 4.J65 RACHELHo BLVD DATE OUT TIME OUT '— <br /> MAK'TINE2 CA 9455$ 1j8ir?2/9'7 <br /> VEHICLEf REFERENCE ORIGtN <br /> __ <br /> �nTle ru t a l xil�ns • n t'T7='Ft✓`C•--- -- ' <br /> Scale 2 Tare Weight 80760 LB <br /> ll Net Weight 41760 LB <br /> GTY DESCRIPTION AMOUNT <br /> c.v. over aed on r- <br /> I <br /> -W141111AASIER CFetpICAIF ih815 f0 CERmy Own Rte fdawnq do-flb d commodity w®waved,memued,a caroted by a woomorter.whose <br /> ogtmnure h on ails cedtlkote.who b a reeoweted otMnrtry of oeax0c7,0 Pts$Otted by Chapter 7(camreminq wnt,Section 12?Wi of Division 5 of <br /> the Catoxila euNrtdss and PtofestkmCode.ooltrideli bytmMIsion of MealuemmdSlari ell Of 1h&1701110011a Department of Food and Agitcutr-e. <br /> I TRUCK <br /> q 62740 NETAMOUNT <br /> TRRUCK q SF3404O _ <br /> P.0. # NONE <br /> TRAILER # IVG8145 TENDERED <br /> Schedule 24 hours in advance directly with the landfill. <br /> Caul (S.IfeIt92-4248 to seh}4dule. —_ <br /> Drive !3•afe1Y! ! / CHANGE � <br />