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W 0 1r unwnxv NON-HAZAHUUUb VMb I L MANIrI_b I ARWARD y, NON-HAZARDOUS WASTE MANIFEST / INCORPORATED WASTE TREATMENT AND DIsPOSAL FACILITY INCORPORATED VOSM TREATMENT AND DISPOSAL FACILITY i JOB ACCEPTANCE N0. JOB ACCEPTANCE N0. C pY1 ❑GLOVS GOGGLES pRESPWATOR [IHAAD HAT =� m [ IRATO GLOVES GOGGLES[RESPIRATOR [:I] HAT []TY-VEK ❑OTHER OTYVEK ❑O SPECIAL HANDLING PROCEDURES SPECIAL HANDLING PROCEDURESRb -' 5 If SlGNASAhJ 1uK� E,sa ATE~T/�. SIGWtLREOr- OF , - 1 [ CIAI 4VOSTETYPEI .�.- s - RECEMNGFACIM Voss TYPE RECEIVYVG FACBJTY ❑SLUDGE [I SLUDGE ❑ TREATMENT SOIL ❑ [jNON FRIABLE ASBESTOS FORWARD INC LANDFILL • ❑ TREATMENT s«L ❑"°"FRIABLE ASBESTOS FORWARD INC LANDFILL • DISPOSAL SOIL woos DISPOSAL SOIL ❑ V400D 9999 SOUTH AUSTIN ROAD [3 ❑CONSTRUcnONsaL ❑ ASH9999 SOUTH AUSTIN ROAD © CONS "'C"O"S°`L ❑Er OOTHER ❑;°THER �-�y,�.e MAN7ECA,CALIFORNIA 95336 5�`�'�� MANTECA,CALIFORNIA 95336 • GENERATING FACILITY (209)982-4298 PHONE GENERATINGFACA= (209)982-4298 PHONE ( {2Q9)982-1009 FAX 209)982-1009 FAX NAME NOTES TRUCK NUMBER NAME NOTES, TR"NUMBER t.1 ,i , A� at''1 y 9 t ADDRESS + 1n #�' ADDRESS n ,13 CRY STATE ZIP 3�.-�/N`t�t A c T—I J G fclJ,r4/1l `f^ �f CITY 54�TE ZIP,LJ�S� +J �� `(S� ILI r PHONE ..V s — END DUMP BOTTOM DUMP TRANSFER PHONE 4 f-�' -r ,r END DUMP BOTTOM DLUP TRANSFER F �_�� -4 f TL ❑ ❑ SIGNA�E OFAUT�HORi_ AGENr OR DRIVER DATE ROLC OFF(s) Fur SED WIN DRUMS SIGNATURE OF ALITH ED AGENT OR DRIVER DATE FIS} FLAT-BED VAN DRUMS * i _ ❑ ❑ p ❑ cIIBIc�aRDs FORWARD INC LANDFILL CUBIC YARr� FORWARD INC LANDFILL tr (lY J Forward%W have nor obegauan to acted the wade 40 weather a other Forward&WIm.e no oblgahon to accept me waste d weather or oltw l� c of au aroaw the safe aced eHecte.e d690s111 Of tite waste Or/Iha wore DISPOSAL METHOp (TO BE COMPLETED BY FORY"DI conddgns wiper the safe sad allea"dopMsm of the wale or it the wasteDISPOSAL METHOD' (TO BE COMPLETED BY FORHWRD► �'n Ne safe"eflect�*operatmo d the LutllJt Forward Shap use g,0 JAERATE SToacPsr< OTHfR aripars the "and effeclne operabcn of On LantfA Forwwd ehas use masrnaol8•Holts to worrotty rmly 0opoeer Of 90 nabdly to accept an reasonattle etbrts W prdrrow not*Deposer of ea ftbrWy to accept the 610 AERATE ISTOC404LE OTHER waste to any reason 0 Forward s relusal lO ACcepl the waste a Eased on wase br ury mason M Forward a refwad b adept the waste a Eased an ,-{� wether or other me cordmom Forward ehaa nouy the Drapow when erte. -SOIL weather or other see cordearm,Forward ahea notdy the Doposer whom axle LJ S«L COrd,10V are aApectad to[hang@ such that FOrward WR be Ab4 to coed b"are egwctad b change arch Ihm Forward end oe able to accept the waste ❑SLUDGE bm waste [:1 SLUDGE ` REMARKS NON FRANZ • REMARKS ❑ASBESMS FAGLRYET NUMBER ❑ STOS FACILITY TICKET WMBER ` ❑WOOD 7� T — ❑WOOD StGNA"E AUTHORIZED ENTy DATE, �j SIGNATURE QF ZED�GEhjTt ` e DATE _ ❑ASH * !,` , r �� `F ❑OTHER 1 ' ❑OTHER ` SCHEDUUNG MUST BE MADE PRIOR TO 41WPM THE DAY PRIOR TO EXPECTED ARRIVAL•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.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 12001 082-4208 MANInv. 53060 TO SCHEDULE CALL(200)082-4298 MANIFEST♦ 53059 GENERATOR COPY GENERATORCOPY