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nn nn NONHAZARDOUS WASTE MANIFEST _'ORWARD NON-HAZARDOUS WASTE MANIFEST ORWAiw -- Y �- VhitiS'fE TREATMENT AND DISPOSAL F�LJ7Y t 1V C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILTfY 1 N'C d R P O A A T E D j '' r JOB ACCEPTANCE NO JQ$ACCEPTANCE N0. mummmmum ❑GLOVES ❑GOGGLES❑RESMATOR ❑HARDHAT M []GLOVES ❑GOGG►Fs❑RESMATOR ❑HARDHAT ❑TYVEK ❑OTHER aTYVEK []OTHER SPECIIU.HANDLING PROCEDURES SPECIAL HANDLING PROCEDURES S tin CSN :T f—)ONJ kC.ILSL)\J S"WATL'or t R W%MF=_TYPE RECEMP(C3FAIdl1TY, ..ztiF r VOZrETYPE__ .�Y? .. _. ?i H- RECEMNGFAdL[fY�Wtc_- - - ❑ SLUDGE ❑ SLUDGE ' ❑TREATMENT SOIL ©NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL • ❑frSPOSAL SOL ❑ WOOD ` ❑ DISPOSAL SOIL ❑ wow 9999 SOUTH AUSTIN ROAD ❑CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH "OTHER S�n��S�LE MANTECA,CALIFORNIA 95336 fYOTHER 5 fat MANTECA,CALIFORNIA 95336 G�+�FA�� _ .�.�..� .� (209)982-4298 PHONE • GENERATING FACILITY (209)982-4298 PHONE (209)982-1009 FAX {209)982-1009 FAX NAME NOTES. 't_ - TRUCK NUMBER NAME NOTES. TRUCIc NUMBER ADDRESS H .i' Logi - F ,� ,� ' f ADDRESS � t�uur� WJE �_, ;3: PALti' uE Z .CITY STATE('LIP_ h�5 .CITY STATE ZIP t 4��CDESTC, CP �S3S� UJ �3'G ,��C1kS�� ,:F, 953 END DUMP sg BOTTOM DUMP TRANSFER PHONE !AFI I7 END DUMP © TRANSFER E ^z- S'�;-4I DC's IT ❑ ❑ SIGNATUFJqibF�ALTTH6Fd#—AGENT OR DRIVER �DAATEQj{/ ROLL# (S) FLAT-BED VAN DRUMS �1.��AUT�IORI�AGENT OijIDA/NER DATE q ROLLF�S} FLAT BED 11 DRUMS ! C:•r7-- ±'/r'rr 1 /Cf�l ❑ ❑ ❑ ❑ T t� _11A51 C.4.��C FORWARD INC LANDFILL Ct=YARDS _ FORWARD INC LANDFILL `1'8tC"SDS Forward sh9a heave no Otrlrgahon m acted the waste a wwaHrer a ether / 7 Forward ares haw no obhgaton tt eCCept the waste d wealner G oltwer cora t ons and rise sale and eltechve dupaaai d the waste a R e o wftr con Awa enpan the sale and elfectrve aaposai d 1Ie waste a d the waste S(-METHOD' (TO BE COMPLETED BY FORMRDI vnpeea the sale and al emid oparatran d the f the l Forward elreR use DISPOSALMETHOD: (O PE COMPLETED BY FORWARD) arpa"dle sate and aHecir a operation d the LvOiN Forward short use ffro ath albite n promptly eddy Disposer d its U Forility a accept tae BIO AF 7E OTHER reasonable efforts to promptly+arty Opposer d its vradldy to accept IM SE 810 ►EIWE ISIOCKPI1 OTHER reawaste for Ary reason H Forward a refusal b POC W the waste Is based m waste fa any reason R Forward s relrrasl m ecceq the waste u based on E2-90L— "other or dher ste conddans.Forward shed notdy the Disposer when ate IL weather or dhar sde=nddrora Forward shall no*tae Disposer when silo Condaarrs am expected to change a"that Forward wA be able m conchlx s are exPeCiad m Charge with that Forward MR be able m ecce ov waste ❑SLUDGE a tiro waste ❑SLUDGE REMARKS ` REMARKS - NON FRIAe� ❑NON FFRRLAW STOS FALL Y,TIL�K�`y1�UMBEf� , /l ` ❑WOOD D FACILfiY�TIGKET,�1UhA�ER n W000 T - STOS ❑ ❑ Wl,,VTu�FihF Run tzEc CEN*, r // w+rE SIG#Ty ¢F AUTH� (ZED A¢ENr / DATE ASH y/T /� 1 Li_ - ASFr- i r� ; �w; Lr I - ❑ J ✓ ry �y r; �> 7� + f_ �—^ /'l� r ! Q OTHER _ ❑OTHERease SCHEDULING MUST BE MADE PRIOR TO A OD P NI THE PAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT 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 TO SCHEDULE LREFUSAL UPON E CALL(209 984 ONGO�pAILY DELIVERIES MUST BE aGHEDUI¢p VYITH THE LANDFILL THE DAY BEFORE 41298 TO SCHEDULE CALL(209)942-4298 W MANIFEST• 53053 MANIFEST- 53 0 5 4 GENERATOR COPY GENERATOR COPY —