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ENV FORWARD FORWARD NON-HAZARDOUS WASTE MANIFEST NON-HAZARDOUS WASTE MANIFEST INCORPORATED ATE TREATMENT AND DISPOSAL FACILITY �►�' I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY - JOB ACCEPTANCE NO. JOB ACCEPTANCE NO CWM._ q a� r 13E _��, _ _ wiff - GENERATORREOUIREDPERBONALPR07EPM CTIVEEOUIENT MaI 1'n IJ6 'tOiV GLOVES ©GOGGLESpRESPIRATOR ©HARD HAT Zt Y'AE� r1 l�IJ6srDtJ []GLOVES ❑GOGGLES[)RESPIRATOR ❑HARDHAT MAAlJGSS _ _- _ ❑TY-VEK []OTHER 0,.8� SPECIAL HANDLING PROCEDURES CITY STATE,IJP ( v SPECIAL HANDLING PROCEDURES . N C 45 � • _ 114 '��t1► � �� PHONE PHONE t+ 3 t�N �} Nl4k c LcsaN stGNATURT of AUTHORL7EA AGENF TITLE="; DATE-_ SIGNATURE OF AUTHORIZED AGENT�TITLE y YVASTE TYPE - RECEIVING FApLTTY v0 sm TYPE RECEMNG FACILITY p SLUDGE 0 SLUDGE © TREATMENT SOIL [❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL p NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ DfSPOSAL SOIL © WOOD 9999 SOUTH AUSTIN ROAD • p DISPOSAL SOIL 0 CONSTRUCTION SOIL E] ASH CONSTRUCTION SOIL 0',�„N0°° 9999 SOUTH AUSTIN ROAD • OTHER S �t4 MANTECA,CALIFORNIA 95336 (OTHER 54ID4,16 MANTECA,CALIFORNIA 95336 GENERATINGFAULTIY (209) 982-4298 PHONE • GENERATING FACILITY (209)982-4298 PHONE (209)982- 009 FAX (209) 982-1009 FAX NAME _ NOTES TRUCK NUMBER NAME NOTES TRUCK NUMBER +r, ��C AD : �J� r 5 `b 0An ADDRESS ADDRESS xJ,-t§k '/fit L� �r _�C a L r= , yi h`1 F J .CITY STATE ZIPc .CLTY 'T") TA 7JP C,l + PHONE I END DUMP BOTTOM DUMP TRANSFER I�^tL�G�jTI: t Ori . r�] l �t v r]�C��_-��)K �C( � i.0 !EL ❑ ❑ i PRONE END P BOTTOM DUMP TRANSFER .� �c211 91 T� ❑ ❑ SIGNATURE 0 AdfH ]AGENT O&DRIVER DATE I ROLL OFFI51 FLAT BED VAN DRUMS 5lGNA ORIZED7AGENT0.7 DRIVER JDATE RD<if-0+FF�S) FLAT-BED VAN DRUMS �� 0 ❑ 0 ❑ ❑ FORWARD INC LANDFILL CUBIC YARDS FORWARD INC LANDFILL CULSIcYARM I C Forward shMl have no ahlpalgn to accept the waste it weather or otherCond � Forward ahaa have ro hon to accept the waste if weather or other Man tr rmpae anthe Date entl eHectre n of the of the wase a d the wane DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) cord4crur urpair the sate and Ne disposal of the waste or d the waste anpara the sale and aomptlyffecirve operation of the Ludd� Forward cep uu areata the mate and efloch"operation of the Lardfit Forward stop use DISPOSAL METHOD (TQ BE COMPLETED BY FORYV4RD) waste shorts o promptly For ly d a refusal s 10 ot IIs r*wit to ec se Cm FOSE BIO AERATE 5fOClors E OTHER reasonahlm atWu to promptly Rorty Disposer d ors Inability td accept tM BID AERATE STOCIIPIIE OTHER waste for of rads M Forwards warh accept Ur waste u basetl an p SOIL LfCflJTY any reason h Forward a refuasl to accept the waste is based on weather or othar uta Contlsiars Forward shall notify the Dapasar when site or otter oda conditlo s.Forward shall notify the Disposer when site ❑SOIL conditions am expected to charge ouch that Forward will be oda to accept s ata expactatl to diarge urn that Forward"I be able to accept the waste ❑SLUDGE ❑SLUDGE ` REMARKS NON FRIABLE S NON FFiIAHLE ❑ASBESTOS NONASBF IAI FACILITY TICKET NUMBER TICKET NUMBER YyQOD WOOD SIGNATURE QFA ,ORIZED AGENT t DATE F ZED DATE _ Y ❑ASH ❑ASH * - __�--- ❑OTHER ER SCHEDULING MUST BE MADE PRIOR TO 4 DO P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL o ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL H BEFORE F RE HEL SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(250)082-4208 O TO SCHEDULE CALL 1202)082-4205 53037 MANIFEST r GENERATOR COPY