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f♦� �� tib t� �� s tllll� � � i � Illy t�� wsaat�� �00ARD FORWARD - NON-HAZARDOUS WASTE MANIFEST NON-HAZARDOUS WASTE MANIFEST !N C O R P O R A T E D WASTE TREATMENT AND DMPOSAL.FACILITY I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY % JOB ACCEPTANCE NO. f JOB ACCEPTANCE NO. {�� U ❑GLWEs pGOGGLES❑RESPIRATOR ❑HARD HAT �+a6S ❑GLOVES ❑GOGGLES❑RESP9TArOR ❑ HAT ❑TYVEK ❑OTHER ❑TYVEK []OTHER SPECIAL HANDLNG PROCEDURES - SPECIAL HANDLING PROCEDURES 76 SIGWi — 'OF AUTHORIZED AGENfPTffLEj Dia ,` "„� SIG - OFAIJTHORQED --%TgLE DA7E1 - * !r A - s VOSTE TYPE _ _ RECEIVWGFAC1LITY_1 ti WASTE TYPE _ LRECEIVINGFACUTY ❑SLUDGE ❑ SLUDGE ❑ TREATMENT SOIL ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑01SPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ' ❑DISPOSAL SOIL ❑ MOE) 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH ❑CONSTRUCTION SOIL ❑ ASH OTHER �tc� P,l+~ MANTECA,CALIFORNIA 95336 . �rHER S 4- , tE MANTECA,CALIFORNIA 95336 f GENERATING FACILITY (209)982-4298 PHONE GENERATINGFACILrrY _ (209)982-4298 PHONE (209) 982-1009 FAX (209)982-1009 FAX NAME NOTEI& ❑ _ TRUCK NUMBER NAME � 1_ NOTE TRUCK NUMBER ADDRESS t ADDRESS fi �f I l t Lbl� o�S /'` am STATEf�3L, '?Ail L_f tiE J C G ' q .CITY smtE ZIP3 3 b( T 11-1� S i: i C� , PHONE X15 S� END DUMP l V BOTTOM DUMP TRANSFER PHONE END BOTTOM DUMP TRANSFER SIG AU � AG THED ENT OR DRIVER DATE ROLL-OFFS) FLAT BED VAN DRUMS SDGNATU RUTH D lsTf OR DRIVER DATE FF(S) FLAT-BED VAN DRUMS 11 h, * L i! Tk n i 's FORWARD INC LANDFILLCUBIC YARDS FORWARD INC LANDFILL CUBIC Yr Forward Shea hate to dblgatw to meot the waste it weather or other forward shen neve no obrpahon to accept the wade it weather or other Corddm wrw the axle and effect"dhaoosal of the waste or d the waste (TO BE COMPLETED BY FORVORA) contlmona ertpev the sate and ellectwe dapo"d the wase ord the waste DISPOSAL METHOD ATO BE COMPLETED BY FORYWRD) srpm the sate&V electme oomt*n ot the LardIA Forward"use no ws the sale and etlecnve owahon of the Landfill Forward Mail use reasonable efforts td promptly ratify Disposer ofds tneblAy to accept the BIO AERATE OTHER reasonable efforts to prompty notify Disposer d ds viability to accep the / BIO AERATE OTHER waste for any reason a Forward s refusal to accept the waste u bawd on / waste lor arty reason 4 Forwaid a refusal to acted the waste is based do weather or other sde cdnddhorm forward shall notdy the Dtsposer when uta C �L weather or other site=nddau Forward shad nphy the Drsposer when ate conditions are expected to charge each that Forward Boll be able to accept y 7 Conddions arc expected to ChmVe Bch that Forward will be aIle to accept the waste ❑SLUDGE the waste []SLUDGE REMARKS REMARKS ❑�srRosM ©As�BEF.sAros� FACILIIYJICKET NUMBER _ WOOD FAGIJTYyCl(ETYJWER ❑ASBESTOS n ❑ SIGNA)'*,6F AUTHORIZEgj GENT ( 1 DATE slaw URE�AUTt)ORIZEft AGENT I DATE= ii `( rr ❑ASH �JSH �h � y e t� -� r _..1• (L'�L .^`�t a� !!I ✓ l I 1 ♦ * c tr ii c �"'� • 1�� '} ❑OTHER SCHEDULING MUST BE MADE PRIOR TO 4100 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•ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL OI(GOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAYBEFORE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(208)882 4298 MANIFESTO 5,1057 TO SCHEDULE CALL(209)982-4298 mANIFEST+ 53058 GENERATORCOPY GENERATOR COPY