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FORWARD NON-HAZARDOUS WASTE MANIFEST- ORWARD NON-HAZARDOUS WASTE MANIFEST INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY JN C O R P O R A T E D NWSTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. - JOB ACCEPTANCE NO. []GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD FIAT fY\ ❑GLOVES []GOGGLES❑RESPIRATOR ❑HARD HAT ❑TYafEK []OTHER ❑TYVEK [)OTHER y t X SPECIAL HANDLING PROCEDURES - SPECIAL HANDLWG PROCEDURES _ 141 Tf 20 A C � Ss 5g son IBM YOSTETYPERECEMNGFAC�ICY�. VVSM TYPERECEIVNIGFApt17Y_ p O DFRIABLE ASBESTOS FORWARD INC LANDFILL [ITREATMENT SOIL ❑ON FRIABLE ASBESTOS SLUDGE FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑DISPOSAL SOIL ❑ V"D9999 SOUTH AUSTIN ROAD ' ❑ DISPOSAL SOIL ❑ '�O° 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCT"SOIL ❑ ASH ❑ CONSTRUCTION SOIL ❑ ASH - MOTHER� �� MANTECk,CALIFORNIA 95338 - P-PTHER 5fe,V{r,tr MANTECA,CALIFORNIA 95336 GENERATING FACILITY (209)982-4298 PHONE GENERATINGFAGLITY (209)982-4298 PHONE (209)982-1009 FAX (209)982-1009 FAX NAME r� NOTES.-z tL i } i y NOTES I TRUCK NUMBER TRUCK NUMBER NAME _ SADDRESr 4•," 4EAJ Z �I o1 4 ADDRESS•k4"( . CTTY STATE�P PZU L\NlE A4 E, ' ' j / .cm STATE F Y r��.i�l,`E tY�C t C7 C f� , $ I E END DUMP BOTTOM DUMP TRANSFER 0 is • PHONE END BOTTOM DUMP TRANSFER PHONE SIGNATURE ORIZED AGENT/OAR DRNER DATE RO -OFF(S) FLAT-BED VAN DRUMS SIGNATURE 4 AUTHdR12ED AGENT OR ORNER DATE ROLGOFF(S) FLAT-BED VAN DRUMS FORWARD INC LANDFILL ` 1O YAF FORWARD INC LANDFILL L URIC YARDS Forward shad have no obligation W accept the waste I weather or other [RELRKS orward"i nave rn obigaton to accept the waste d weather or ortri eenddov wpw the sate and effect"dgposal of the waste or I the waste DISPOSAL METHOD (R?BE COMPLETED BY FORWARD) ns impair the saie and eflact r dmDosah of the waste a d the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) mpao the safe and efiech"operation of the Lndhl Forward uta"too the sale aro eiledwe operation of the Lardtdl Forward Shea�e SPOT 810 AERATE OTHER masonade allorts to Promptly ndily Dupoaor d as riubrUy to accept the /7 BID JAERATE OTHER bfe etoru to pmernotly nobly Disposer d its vmtxky to arced um waste torr ant reason t Forward a mk"to accept the waste is basad on for WV Mason t Forwanh a rehash to arced the wasle u based m weather or other Mee corddions.Forward shall nobly the Duposar when aIle ❑SOIL r or otter ado condeorm Forward shall nobly the Dapdsar when arte� codil ons are expected lo charge arrCh that Forward waI——-accept ns are oxpacted id change such that Forward will be able lo accept the waste r SLUDGE ste ❑SLUDGE ` REMARKS NON FRIABLE KS NDN FRIABLE _ ❑�y.� ❑ASBESTOS FACUTYfICKEIT�NGMB % Y TICKET NUMBER ❑WOOD ❑WOOD SIGN�TUAE L #LUTHOfiIZD AGSM f tOATE( JRE CJF AU IFiORIZE�f AGENT /'DATE❑ASH ❑ASH 4� " OTHER [3OTHER SCHEDULING MUST BE MADE PRIOR TO 400 PM THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 400 PM THE DAY PRIOR TO EXPECTED ARRIVAL•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 WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)982 4298 MANIFEST# 53055 TO SCHEDULE CALL(209)982 4298 MANIFEST+ 53056 GENERATOR COPY - GENERATOR COPY