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� ► -- [IT } FORWARD NON-HAZARDOUS WAST!=MANIFEST FORWARDNONHAZARDOUS WASTE MANIFEST INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY �.•b INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. JOB ACCEPTANCE NO. Cmyvr 44qi) W- PR- ENT GENERATOR _ ❑GLOS ❑GOGL ES❑RESPIRATOR ❑HARD HAT FIEGUIFh �- ©TYVEK []OTHER 3Ar'lt ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT AAINJGADQRESS ❑TY-VEK ❑OTHER SPECIAL HANDLING PROCEDURES SPECIAL HANDLING PROCEDURES CITY CITY 5mTE,ZIP � •. x. __ _LP,T1-4 icoP CA `15 _ PHDniE -: �� 1 _TI r C. 14aTwr r_J.G—rail COd+VCFPFar , _ 3AIU I}�IJQ�C SOIJ — - Sfl tJ }t C NRS LKSb�1 SIGNATURE OF AUiHORfZFA AGEFIt l TTFLE r DATE_ SiGNATPRE OF AG /TITLE DATE * Y. WASTE TYPE _ : RECEIVING FACBIFY • tM1f✓L^aFE TYPE RECEIVING FACILITY ❑SLUDGE ❑SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑TREATMENT SOIL ❑NON FRIABLEASBEsTOS FORWARD INC LANDFILL ❑DISPOSAL SOIL ❑ WOOD [I9999 SOUTH AUSTIN ROAD • DISPOSAL SOL CONSTRUCTION SOIL ❑ASH [3 CONSTRUCTION SOIL p wow ❑9999 SOUTH AUSTIN ROAD ):OTHER MANTECA,CALIFORNIA 95336 (OTHER Skc.�ICi> MANTECA, CALIFORNIA 95336 GENERATING FACILITY (209)982-4298 PHONE GENERATING FMLITY (209)982-4298 PHONE (209)982-1009 FAX (209) 982-1009 FAX NAME -II NOTES TRUCK NUMBER NAME NOTES TRUCK NUMBER 1 ♦ s� .� i ADDRESS ADDRESS�Er, CG eau I�D �j� i lallLs N �� ' 569 I^kt 1 i;H S.L�, �� CITY STATE ZIP . CITY STATE.ZIP (' l(Yk7 L c'ST L 10, r-153S-6' U��,�•` PHONE r ,J� END DUMP BOTTOM PUMP TRANSFER ` PHONE ) ENDTDUMP BOTTOM DUMP TRANSFER � IWC 1 (� ❑ ❑ t' \ �?y 6S ❑ 1:1 SIGNATUREOF D A A O�ER DATE , ROLL-OFF(S) FLAT BED VAN DRUMS SIGNATURE QF AlJFH6RIZED AGENT OR DRNER DATE ROLL Off(S) FLAT BED VAN DRUMS * I y 0 ❑ © ❑ _ r S r ❑ ❑ ❑ ❑ I r _ FORWARD INC LANDFILL CUBIC YARDS I "� CUBIC YARDS l [FACIUTY ORWARD INC LANDFILL r-orwartlahaahaaer,otlELgatnntae«eWthewaste dweather adher orward shad have no dblgatron ro accept lite waste d weather a other I f A cdnditxns impar pie safe and ehectrve disposal of the waste or d the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) rts erpafr the safe and eHectrve deposal of the waste a d the waste DISPOSAL METHOD' �{TD BE COMPLETED BY FORWARD) °ern the safe DIM eltechre ope�!ton of the LaMfip ForwaN atlas use the safe and effective operates of the to dfil Forward shalt use reasonable eflorts to promptly rwhl Deposer d ds rabddy to accept the BIO AERATE 5tOGKfR.E OTHER ble efforts to prompt d ds rrabdd b scced the BIO AERATE 9MCJdILE OTHER waste for any reason h Forwards refusal b m4ly�ept the wale a Eased on ❑SOIL tY nY Dnspoier Y weather a abet ode catWlNns.Forward thea noW this Deposer when Lle for arty reason d Forward a refusal b accept the waste a based on conddgns are expected w Marge ouch that Forward w,a be able to accept r or dtter she cordl*%Forward sled ratty the Deposer when site ❑SOIL the waste ❑SLUDGE ns are expeuW to Owge uch that Forward will be aIle to acted I ` REMARKS ft rms ❑SLUDGE NON Fi31ABL.E KS I ❑ASSES= ❑NNON-FSiO� FACILITY TICKET NUMBER ^— Y TICKET NUMBER ©WOOD ❑WOOD S�ORtZED AGE1i OF AUTHORJ!g AG DATE_ t.! OTHER SCHEOULING MUST BE MADE PRIOR TO 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR 7O 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED W17H THE LANDF"THE DAY BEFORE SU WFLI 10 REFUSAI.UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED MATH THE LANDFILL THE DAY BEFORE 70 SCHEDULE GALL(208)982 4296 MANIFEST e 5_3034 TO SCHEDULE CALL 1209)1182-4298 MANIFEST. 53033 GENFJTATOR COPY