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Inlw ■I�e w Tw■� ■ff�� w � w w w w w w �� i FORWARD NON-HAZARDOUS WASTE MANIFEST FORWARD NOWHAZARDOUs WASTE MANIFEST INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO Cte0AA— y JOB ACCEPTANCE NO Gtn.T M —yZEI� GENERATGRx,---- y REQUIRED F$TSW�ROTECTTVE EQUIPMENT r J GENERATOg—_w _ _ - t -- REQL71iED PER'aONAL PROTECTNE EOIIPMENT ❑GLOVES ❑GOGGLES❑RESPIRATOR []HARDHAT 1Ln►�-� �, l Cly`C�_� ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT ►AAAJNG_ k.:.}"-K i. ,' -_. �+ cay.r r ❑TY-VEK [I OTHER MA4SIG�kDDRESS ❑TY-VEK ❑OTHER O HANDLING PROCEDURES CfMS O ``l�` r L1 Y'4�_ _ - SPECIAL HANDLING PROCEDURES ;QTY �p SPECIAL L. TATE,21P _ _ • PFIOT� L_,`�11 }C r, '�a,T,� - • _ 4 r11-+.Qld C4-` S',i Q- �a• E i r GONWCTPI R50N t t *tet 4� CONTI 7PEFMW SIGNATURE OF ENTJ DATE 'SIGNA OF AGENT lMTLE DALE d� * �SC �� WASTE TYPE RECEIVNG FAC11HY V#tSTE TYPE RECEIVING FACUM ❑TREATMENT SOIL p NON FAMLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SO4L UDGE p SLUDGE FRw.LE ASBESTOS FORWARD INC LANDFILL © DISPOSAL SOIL SUL ❑1N H 9999 SOUTH AUSTIN ROAD � ❑DISPOSAL SOIL ❑ WOOD ASH 9999 SOUTH AUSTIN ROAD ❑ASH p CONSTRUCTION SOIL ASH • P'_OTHER4 OCA x,t MANTECA,CALIFORNIA 95336 : p�oTHER4'`C``p `Y MANTECA, CALIFORNIA 95336 GENERATMFACILITY (209)982-4298 PHONE GENERATING FACILITY (209)982-4298 PHONE (209)982-1009 FAX (209)982-1009 FAX NAME NOTES..0 it ate'' TRUCK NUMBER NAME f10TE3 TRUCK NUMBER ADDRESS c ��, ADDRESS ; c-P,!! I `7 �E 4�'lL .CITY STATE,ZIP .CITY STATE,ZIP ;'1- C7ESTL, CA `75 3�, k'11L O)�— r ; =,53`1 PHONE � EN�""� BOTTOM DUMP TRANSFER PHONE END P BOTTOM DUMP TRANSFER I ` IZ AGENT DRIVE ROLA' ❑ ❑ f �`,1 ��1 =i(f5 s ❑ IU SIGNATURE' ORRFR R DATE -OFFf3) FLAT BED VAN DRUMS SIGNATURE OF AU7F�ORlZED AGENT ORDRIVER DATE RDLL IS) FLAT-IED VAN DRUMS * < < ❑ ❑ ❑ ❑ * � - 1C ❑ ❑ ❑ ❑ FORWARD INC LANDFILL CL'BICY"` +4 ;� FORWARD INC LANDFILL CUM YAMS Forward shalt have no odrp im to axed the waste if weather or other r �� Forward"I have no obhgatwn to accept the wast•d weather or other conditions arpax the Rale end atfectne disposal 01 the waste or d the waste OSPosAL METHOD' (TO BE COMPLETED BY FORYibiRD) cord4�urou the safe and effecWe arsposal of the waste or d the waste aSPOSAL METHOD' (TO BE COMPLETED BY FOFIWkRD) WPM the safe and*1141d"OparabOrt Of ftUrglrL Forward pati tate vroM the Sale"el a two operatan of the landfill Forward shalt use ruam. only nc rolu aaoeepl the waste u 10 CW he — 8iC AERATE OTHER �waste lot of reasonforts so MFoviwaly n Forwards refusal VL t to axed Uu waste a bossed on BIO AERATE MCFAE OTHER wage tor any a weather or other Me eond4aft Forward Shan moody the Disposer when site ©SOIL weetfer or oder ase cadeid,s Forward shag eddy the D. ceer when s4a ❑SOIL coritirl a are expected to charge such that Forward my be able to accept conditions are expected tO change amh that Forward W be Ode to accept Ne waste _ Q SLUDGE the waste []SLUDGE • REMARI(S _ T.3 n s _ • REMARKS _ _ _ NON-F►aABIE D rmH-FRaeIE ❑ASBESTOS ASBESTOS FACILITY TICKET NUMBER FACILITY TICKET NUMBER WOOD ❑1v00D 51�atA4T1lRE dAGEhT^� DAl E SIGNATURE @f AUTHORIZED DATE ASH / H - C ❑ASH f ___ /� �� ❑ L ER SCHEDULING MUST BE MADE PRIOR TO 41)0 P.M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 4-OD PJA THE DAY PRIOR TO EXPECTED ARRIVAL•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(208)082.4298 MANIFEST r 53029 TO SCHEDULE CALL(209)082-4298 MANIFEST+ 53030