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IF R YVR� NON-HAZARDOUS WASTE MANIFEST FORWARD INCORPORATED ��TREATMENT AN➢➢ISPOSAI.FACILITY NON-HAZARDOUS WASTE MANIFEST I> a INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. M1_ JOS ACCEPTANCE N0. — r L�+NC>� ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HAAp HAT GENERATOR _ ITEOIiIREDPER90tJAL PR07EGTIVE EQUIPMENTI ➢ ❑TY VEK ❑OTHER �Ah1cS_M,- bSrbN ATMs ❑ ES❑RESPIRArpA ❑HAROiAr � trr SPECIAL HANDUNG PROCEDURES MAMADDRESS ❑DiHH pT(Ff SPECIAL HANDLING PROCEDURES Cm SNM�P e C�s T tCOWTAGT PERS4 �: 5 a N co � NIALT SIGNA DF AUTHOF�ZED AGENT',TITLE r' We SIGNATURE OF AUTf{OR[ZED AGENT TIT1.E� DATE / WASTE TYPE RECEIVING FACILITY f t VIASTE TYPE RECENWGFACILITY ❑ SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ©SLUDGE ' ❑DISPOSAL SOIL ❑WOOD 9999 SOUTH AUSTIN ROAD ❑ TREATMENT SOIL ©NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑CONSTRucnm804L ❑ASH + © DISPOM SOIL ❑WOOD9999 SOUTH AUSTIN ROAD G�bTHEA-�4��i�,� MANTECA,CALIFORNIA 95336 Q CONSTRUCTION SOIL ❑ASH DZTHER �TM-Y � 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 TRUCK NUMBER NAME NOTES BER ADDRESS � CjNDDREss ��TFIUCK 13�L - ,4 - CITY STATE zIP t'� yn�t 1. '?t I, �1 OVL'AaESTtt ' C� ;5355 _ _ - •CITY STATE PHONE :. END DUMPT BOTTOM DUMP TRANSFER PHONE END DUMP BOTTOM DUMP TRANSFER SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL'OFFISI FLAT BED VAN DRUMS HO El 11l!!l__ * r ❑ ❑ ❑ ❑ SIGNATURE OF��O�lZE�NTR DATE POLL FIS) FLAT-BED VAN DRUMS / ❑ ❑ ❑ ❑ FORWARD INC LANDFILL CUBIC YARDS ' r-y r f CUBIC YARDSForward Shea hm no oo*gatton to accept fhe waste d weather or finer , FORWARD INC LANDFILL coddions impar the Sale and eheclrw disposal of the waste or d the wage DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) erosms the safe and eltedne operation of the LanoUll Forward aha*use 970 AERATE StOCtWI.E OTHER Forward dull ha. no obegalnrr to accept the wase d weather or other reasonable efforts to promptly notdy Oeposer of as rnab"y to accept the SOOSE rarddior.erp." Is and and etleCtw dmosal of the waste or d Cre waste waste for any reason x Forward a refusal to accept the waste+based on Irma"the ule and effedn+operatpn of the LLWandfill Forward ause DISPOSAL METHOD' (TO 13E COMPLETED BY FORWARD) weather d,other site condoms Forward shall noldy w Disposer when sae ❑SOIL reasonable etlona to pionptly eddy Disposer of its rrtab"y to accept the DISPOSE1 Bt0 AERATE JUMMU OTHER coMrboru are expecled to Charge such that Forward sirs be able to accept waste for any reason If Forwards retusal to accept the wage is Cased on the waste ❑SLUDGE weather or other ads condArortt,Forward sfuu notdy the Doposet wFien site ❑SOIL ` REMARKS conditrons we e9mled to charge sUCh that forward wra be able to accept NON FRIbBLE the waste ❑SLUDGE ©ASBESTOS + REMARKS FACILITY TICKET NUMBER NON FFiNBLE ❑WOOD FACILITY TICKET NUMBER ❑ASBESTOS SIGNATURE OF AUT�I B ZED AGQ'( ' DATE ❑WOOD - r ❑ASH SIGNATURE OF !^� DATE * +` 02STHER r7 > > 9 dZR SCHEDULING MUST BE MADE PRIOR TO 400 PM 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 70 SCHEDUL.IHG MUST BE MADE PRIOR TO 4'00 P M THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE SCHEDULE CALL(208)982-4298 MANIFEST. 53036 SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE GENERATOR COPY TO SCHEDULE,CALL(209)982-4298 MANIFEST• 53035