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1W FORWARD NON-HAZARDOUS WASTE MANIFEST FORWARD NON-HAZARDOUS WASTE MANIFEST I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY � I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO c-mrw- L{yba JOB ACCEPTANCE NO [cmm Da. fBVQJAL G1 _ ,��„_a�I,��h'�,,a��x fi-�'-+'y",.,L�,sP-t,�"_.r..,�S.-��t.�•w_`S�y.�..-.�v.�;. ❑ PROTECTIVEEOUIPMENr GENERATOR— k__ - _ REOUIRFD PERSONAL P ROTECTIVE EO IPMENT GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT -JAME" m,-LmcsstN []GLOVES ❑GOGGLES❑RESPIRAOR ROAD FAT -VE []OTHER ❑TYVEK []OTHERM1f�C _ SPEcuL HANDLING PROCEDURES NWLINGADDRESS D, gDK � p•} H . _ CITY STATF,ZIP ca a+ _j - _ SPECIAL HANDLING PROCEDURES �� -ATKQo`? cA, 330 Pry—µ+ —tet ' ' _95 w A� PHONE ; _ �_ �_ 45 _59�C- siGNATl1REIDF AVrFIDRIZED7 TITLEScr�]DATE i SIGNATURE OF AUTHORIZED AGENT/TITLE DATE V#zTE TYPE RECEIVING FACILITY WASTE TYPE RECEIVING FACILITY ❑ SLUDGE ❑ SLUDGE ❑ TREATMENT SOIL © NON FRIABLE ASBESTOS FORWARD INC LANDFILL © TREATMENT SOIL ❑NON-FRIABLE ASBESTOS FORWARDING LANDFILL ❑ DISPOSAL SOIL ❑ 1NOOD 9999 SOUTH AUSTIN ROAD • ❑ DISPOSAL SOIL ❑WOOD ❑CONSTRUCTION SOL ❑ ASH [3 CONSTRUCTION SOIL [I ASH 9999 SOUTH AUSTIN ROAD p`aTHSR 1'>x t"�t� MANTECA,CALIFORNIA 95336 J OTHER 5 ' 1L MANTECA,CALIFORNIA 95336 GENERATING FACtUrY (209)982-4298 PHONE GENERATING FACILITY (209)982-4298 PHONE (209)982-1009 FAX (209)982-1009 FAX NAME NOTES c TRUCK NUMBER NAMENOTE ry TRUCK NUMBER -s4oe^9 V � �- SEM�C � �ct'Y�CO 'z 1 . ADDRESS tin I>)� ADDRESS . CITY STATE,ZIP .CITY STA4 ZIP 47 �, PHONE EN DUMP BOTTOM DUMP TRANSFER PHONE � � END BOTTOM DUMP TRANSFER ` � 1 5)`I `� 3 ROLL-0FF(5) FLAT-SED VAN DRUMS t `� —9(C ❑ ❑ SIGNATURE OF AUTHORIZED AGENT ORDER DATE SIGNATURE7d ORIZED AGENT OR DRIVER DATE -0FFIS) FLAT-BED %AN DRUMS ❑ ❑ ❑ ❑ _ ❑ ❑ ❑ ❑ ARDS FORWARD INC LANDFILL ' FORWARD INC LANDFILL CUBIC YARDS Forward shall rLrm no obtpattm to accept the waste if weather or W*r V Forward"t have no oblgatoon to Accept the waste d weelhet or otW 4 conddtom imPatr the sale aM~NO d=*LW oI the waste a N the waste DI SAL METHOD- (TO BE COMPLETED BY FORMRD) condaibns urmir the wle and effeclwe deposal Of the waste or a the waste wrrpaes the nate end elteatwe oWaWn ol the Landfill Forward shah use w,rpaws ttr safe and alfecbve Operahon of the UvAJ U Forward shoo use DISPOSAL METHOD (TO BE COMPLETED BY FOR4tI4RD) reEsoneb16 ellbrts d prtmptM ndrh Disposer d as hehddy m accept are 610 AERATE IMWU OTHER reasohable efforts to pramWlY nobly Drsposa+of its awbday to aCCeW the 810 JAERATE OTHER waste for erq realm 0 Forwarda relueal to accept the waste is batted m waste lor any reason M Forward s relL"tO accept the waste is based m weather or other sde oorddroos.Forward ahae r"dy the Omoser when Ott SOIL weather a oU,er sde cordaror>s Forward shall riWdy the Osposer when RILE SOIL Cardawa are expelled to dwge wch thel Forward Yell be able to accem ceiddrbns are expected to charge such that Forward will be able to accept the wast / ❑SLUDGE the waste ❑SLUDGE • REMARKS,-, _ f • - ❑NONFRIABLE E REMARKS _❑ASBESTOS FAC -n MBEI� y' „_ - _ © FACILITY TICKET NUMBER ❑WOOD WOOD 0 QRI l TIRE of ORI DA r � Q ASH `f� ❑ASH r ❑OTHER Jk ,OTHER SCHEDULING MUST BE MADE PRIOR TO 4.00 PR+I AE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR O 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL s ANY UNSCHEDULED LOADS ARE SUBIECT TO REFUSAL UPON ARRIVAL ONGONQRAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED VM THE LANDFILL THE DAY BEFORE I TO SCHEDULE CALL(209)982-4268 MANIFEST* 53020 TO SCHEDULE CALL(208)882-4298 MANSFEST 0 53021