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FORWARD RD _ UKWAKU -_ _ _ NON-rw�wiuvu w i t Mwv�rt5 i NON-HAZARDOUS WASTE MANIFEST r N.0 O k P O R A T F D WASTE TREATMENT AND DISPOSAL FACLLrrY !NSC O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACULTY JOB ACCEPTANCE NO. JOB ACCEPTANCE NO. F pGLOVES ❑GOGGIZSORESPROA R DHnRDHAT G �.zIC 'a m L34�_ ��] []GLOVES [:]GOGGLES❑RESPIRATOR ©►�T ❑TrvEx []OTHER ( t} ❑TY VEK ❑OTHER --- SPECIAL HANDLING PROCEDURES Cmay Y�'p.D' ";^ SPECIAL HANDLING PROCEDURES LP'T N� CA �r533a '� A 1.1 H t NR tC� ) SIGNA7LIRE AUiHORGMD JAG N"CI DATEg-. _jSIGNATURE OF AUTHORIZED AGENT TITI-Ir DATE'S 7�C - { �7 - JHJASTETYPE _ _ w-_ -_ - -. - RECEM6R'FACAfrY„ Y_ _ • VIASTE TYPE RECEIVING FACT Y ❑ SLUDGE ❑ SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON-FRIABLE ASBESTOS FORWARD INC LANDFILL • ❑DISPOSAL S09L ❑ W:)OD 9999 SOUTH AUSTIN ROAD • ❑ DISPOSAL SOILrro ❑ CONSTRUCTION SOIL ❑ ASH [I CONSTRUCTION SOIL p Hoo 9999 SOUTH AUSTIN ROAD a MOTHER �, MANTECA, CALIFORNIA 95336 -Q�oTH1 R 5jquVi�),Lz MANTECA,CALIFORNIA 95336 {209)982-4298 PHONE GENERATING FACILITY GENERATMFACIUTY (209)982-4298 PHONE (209)982-1009 FAX (209)982-1009 FAX UWE �j NOTES TRUCK NUMBER NAME NOTES TRUCK NUMBER ADDRESS C'r � iYA# -7 ADDRESS r ` �+C ?+ TCi f 1 ^7j(.-� , �- 4 CITY STATE ZIP .CITY STATE 7P �pLTl1ti2 AL t, �-,')-!1'L Y, C 11��7 �� Q� �(✓ r I �� '• / PHONE r END DUMP BOTTOM DUMP TRANSFER • PHONE � ! END DUMP BOTTOM DUMP TRANSFER --k`' — -`f ❑ 13� Gri`J, ❑ ❑ SPGN F AL1 qMJ 'Z`ED AGENT OR DRIVER DATE ROLL=OFFS) FLAT-BEI? E'OVAN DRUMS SIGNATU�Q AU�7iO5F{F6`AAfa NT OR DRIVER DATE ROLL-0FF{Si FLAT-BED VAN DRUMSI f ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ * FORWARD INC LANDFILL CtaB,c� is FORWARD INC LANDFILL cue>c Y Forward ahaa naw no obhgauon to accept the wase d weather or other 1 ,.Forward thea have ro obligation to accept the waste d weather orother '� cord+t�oru+npauthe •a^d ettect�e dnaasal of s»waste or d the ware DISpOSAI METHOD (TO BE COMPLETED BY FOFiVSARD) eorddsro Mrpaa the sale and eNectwe deposal Of the waste a d the waste r aeonOWS Ore sate sso ettsawe notify ,or,of the Las F% Forward snag me 1100 AERATE 19000U OTHER Irrpava p,e sale and eltectna operahort (h8 Lsrdtia Forward ansa rote DISPOSAL METHOD') BE'COMPLETEA BY FORWARDS reasonable eNorts W OrdmPlk hardy Ogpdaer a as neGldy to acce0t Ina n onotoo atlorts to promptly notify Dreposer of its arabddy,to aaaeot the 8I0 AERATE STOWU OTHER "othte er other sat cora it-onydFO refusal l�u+�inrotddyy thee Wepose��will r IL waste,or any reason a forwoM a refusal so accept the wasle a be an !pet Che corddgna are , ted to d wqe such that Forward wA w K able to weather or other sde conddrom forward shah notify the Dupdew when arta ❑ L the ware ❑SLUDGE r cdndrions aro expected to change sutra d,et Forward will be able to accept Ina waste ❑SLUDGE REMARKSNON FRIABLE • REMARKS c3NON-FRIABLEFAC1 TYXKE"CAABERj 1 ❑ASBESTOS FACILF�f TPC ETNUMBER ASBESTO ❑WOOD ❑WOOD SFG�TpRE#AUTHPRIZED OGENT / DPiE ASH PIGNA E OF AUIH07ZED AGENT l DATE r / , `%I� ❑ ' f /1 � r d �.� i/ r r / r -' r ❑OTHER 4r `J ©OTHER SCHEDULING MUST BE MADE PRIOR TO 4.00 PM 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 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 VVITH THE LANDFILL THE DAY BEFORE TO SCHEDULE GALL(2091 982 4298 MANIFEST♦ 53048 TO SCHEDULE CALL(209)982 4298 MANIFEST i 534 O 4 7 GENERATOR COPY GENERATOR COPY