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At FORWARD NON-HAZARDOUS WASTE MANIFESTFQRWARD NOWHAZARDOUS WASTE MANIFEST INCORPORATED ATE TREATMENT AND DISPOSAL FACILITY INCORPORATED INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY r JOB ACCEPTANCE NO. CrAM — I JOB ACCEPTANCE NO. _ _ REQLW ED PERSONAL PAOTECTIVE EQUIPMENT >LL4R0 HAT �-� - 'i '-' - - , REOURED I�NAL ffWWTIVE EQUIPMENT GENERATOR 3RnIES lM s l�&6ST0tJ ❑GLOVES []GOGGLES[:]RESPIRATOR 7Ak- 3 i+l� {AIxS�.7 _ ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARDHAT MAILING ADDRESS ._ ��E� J� _,11 []TY-VEK []OTHER MALNGaDd�ESS �rdrW'i a�1 :.,t«� _ ear , ©TYVEK [)OTHER D� D:v G?? _ _-_. { - SPECIAL HANDLING PROCEDURES A a ++y M.r.'r- SPECIAL HANDLING PROCEDURES , gyp`zr CITY 73P�s .t s,c t ct r 2 a _ ,i d...ar n ST iib�Aart�-i y r1.. 'S^"`E i TS1 CONVICTPE _ - `= '-_— CONwcr PARSON - .TflN OF AUi19MED AGENT%- DATE SIGNATURE OF AUTHOR2.ED AGENT.1 TITLE DV47E VWASTE TYPE RECERM FACILITY - VIWSTE TYPE RECEtVWC FACILITY 0 SLUDGE ❑SLUDGE ❑ TREATMENT SOIL ❑ NDN FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑DISPOSAL SOIL ❑`MOOD 9959 SOUTH AUSTIN ROAD ❑DISPOSAL SOIL ❑WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL p ASH ,�- ❑ GMSTRLICTION SOIL ❑ASH OTHER < .�,L�� MANTECA,CALIFORNIA 95336 ©OTHER c_�� MANTECA,CALIFORNIA 95336 GENERATING FACILITY (209) 982-4298 PHONE GENERATING FACILITY (209) 982-4298 PHONE (209)982-1009 FAX (209)982-1009 FAX NAME NOTES ,r Arj TRUCK NUMBER NAME TRUCK NUMBER '�'>� ADDRESS ! ADDRESS ( "�1 F CRY STATE,IJP •CRY STATE ZIP �u� j-Co,< -L r PHONE END BOTTOM DUMP TRANSFER PHONE I E BOTTOM DUMP TRANSFER O 0 �oh� --S z - �S 3 ❑ ❑ SIGNATURE OF AUTHORIZEDAG OR DITHER DATE ROLL OFFS} FLAT-BED VAN DRUMS SKaNATUE OF AUTHORIZE AGENT OR DITHER DATE ROLL-OFF(5) FLAT-BED VAN DRUMS FORWARD INC LANDFILL CUBIC YARDS f f FORWARD INC LANDFILL CUBIC YAMS Forward aW haw rm oblpelun to accept the waste&weather or char \ Forward"haw w Obtpatron to scoop the waste A weather a finer V COrddLOrn impar the We and altadwa dapoaal Of the waste a M the washe DISPOSAL METHOD. (TO BE COMPLETED BY FQRVWRD► condmorm maim the We and attest"disposal d the waste or a me wale DISPOSAL METHOD (TO BE COMPLETED BY FORVMD) nParrs the$a%and eNect"operation ot We LardfdI Forward shad userpaars the sale and eflectrre opermhon of Ire LWIa Forward aroma Lae reaeonabte efbrts to Pwl ty ndtafy Disposer of as may to&Deep the DISPOSE1 90O I AERATE SnDCKPILE OTHER reason*efforts 10 promptly rLddy Disposer of as LnabLWy to OCCeL4 the rSPOSE BIO JAERATEISOMFU OTHER waste lor say reason N Forward a refusal to accept the waste is owed on waste t0r any reason I Forwards tolusal to accept the waste Ls based On ❑SOIL weather Or other sde mWou Forward aha&nobly the Daposer when ade C] - weather or char sae commons,Forward&W notify the Doom,whom vis conddgm are expected to charge mxh that Forward wdt be able to apeepl dord+tatns are etpeoud to dwnpe such mal Forward ora be able t0 accept the waste ❑SLUDGE the waste ❑SLUDGE REMARKS a REMARKS " FACILITY TICKET NUMBER ❑ ASBESTOShFA�ffY nC NU �T'\ 'c ❑ASBESTOS ❑WOOD �� ❑WOOD SIGNArI a of ORS DATE` ❑�H sI9N$1 of 0 �AGG JDATE y, ❑ASH �y (i HER THER SCHEDULING MUST BE MADE PRIOR TO 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)982-4285 MANIFEST e 53022 TO SCHEDULE CALL(209)493-4208 MANIFEST• 53024