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FORWARD NON-HAZARDOUS WASTE MANIFESTjxr NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED VAASTE TREATMENT AND DISPOSAI.FACILITY FOR!' ARn WASTE TREATMENT AND qSIPOSAL FACIUTY <br /> JOS ACCEPTANCE NO. INCORPORATED <br /> � JOB ACCEPTANCE N0. pm <br /> r <br /> ~S M# 'L S`C01.1 ❑GLOVES [:]GOGGLES[]RESPIRATOR []HARD nn YY1. LA ❑GLOVES pGOGGLES ORESPIRATOR C ADD HAT <br /> ❑TY-VEK ❑OTHER y ❑TY VEX ❑OTHER <br /> SPECIAL HANDLING PROCEDURESCtjY <br /> I 2 _ �,� SPECIAL HANDLING PROCEDURES <br /> . -sf. ..eZ + _ a <br /> q. <br /> C WCACT <br /> 5r- <br /> SIGNATURE OF AIf�ORIZII AGEwr_%TITLE f U_diTE gK3N11Tt1RE OF AUTHORIZED AGEPff/TRLE <br /> RECEMNC FACLlIY�, <br /> VO TE TYPE 9. _ nasiE TYPE t _ �, , iTECI:IVNG FACtIIY C8... ' <br /> [3 SLUDGE <br /> ❑TREATMENT SOIL ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ SLUDGE <br /> p DISPOSAL Sat ❑ WOOD9999 SOUTH AUSTIN ROAD ❑ TREATMENT saNO <br /> L ❑ N FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ❑CONSTRUCTION SOL [3 ASH p DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN <br /> oc + C <br /> ROAD <br /> OTHER ❑ CONSTRUCTION SOIL �ASH <br /> MANTECA, R S-���,las MANTECA,CALIFORNIA 95336 <br /> GENERA,wGFAarmr (209)982-4298 PHONE ' GENERATINGFAaUTY (209)982-4298 PHONE <br /> (209)982-1009 FAX (209)982-1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> NAME NOTES TRUGCNUMBER <br /> -'- <br /> ADDRESS <br /> % kAL5 �,a g s � j.I , )-C l� <br /> ADDRESS 7`�`' <br /> .c,Try suTE. ("_ POrzT_ - 13 3 L� 3 <br /> I��h� C� �C3- CITY STATEZ1P� <br /> • PHONE 1 ` I c1 FS END DUMP a DUMP R c�9=S I �rS355 <br /> / _ PHONE C EN BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT❑BED A DRU S t� Sl� '�E ❑ ❑ <br /> 1r ?3� SIGNATUFk OF AUTHORIZED AGENT OR DRIVER JDATE ROd-OFFS) FLAT BED VAN DRUMS <br /> FORWARD INC LANDFILL cue>c�"' CUBc <br /> Forward,�.ehMnom,lpn�&=PlU1ewaste 0W191ner4r«Ier FORWARD INC.LANDFILL Y'�D�� <br /> cowd*m arvan the sate and etfeclne disposal of the waste or d the waste DI U (TO BE COMPLETED BY FORVARD) Faw"strap ha`e no obtgaton to accept the waste d weather a other <br /> vVvm the ask Ara atteohve operator of the LandfiL Forward"use cd.adt r rOW the site era Meets a onposN d ew waste or f the waste DISPOSAL (TO BE COMPLETED BY FORV"D) <br /> roaeduhle dlau to txodtPtlY hotdy Dnowar d tts rgbky to accept the BIO AERATE OTHER wom the two e.a adecom owaton ct the Lantlhe Forwartl shse use <br /> waste ler Ary fe a Forward a tehrad to accept the wsate b bored on reasonade elfala to promptly rK"y D wooser of ds MaWly LO=this BIO AERATE OTHER <br /> wasttter a olhM adr caadxxa Forward shah notify the Odrpoaer when at SOIL wale for arty raasdn a Forward s refusal W accep W waste u based on ❑SOIL <br /> a <br /> eaadoas are expected to charye ch that Forward we be able W accept weather or other sda Coetldrdna Forward shall notify Aha Reposer w+,en ads <br /> e "waste ❑SLUDGE Ow waste <br /> are expected to dwW s4:h that Forward wee be able W accept ❑SLUDGE <br /> REMARKSNO 4RI,42U a REMARKS NON FRt4BLE <br /> � ASBESTOS <br /> FACILITY WET DIRER _ /11 <br /> � <br /> ASBESTOS <br /> y ❑YVOOD FACILITY TICKET NUMBER <br /> $IGN!)7i1R� <br /> [:] D <br /> q,F/AUTHORIZED/ ENT DATE qSH <br /> � � ©ASH <br /> J � Q StGNAjt1RE�ALFfHORIZED lf�iEtdT DATE � � <br /> 7k Lrr r�f/ �Y'�(/��I 1 f '� E)OTHER * �,r- )1 r -� r ❑OTHER <br /> SCHEDULING TRUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SCHEDULING MUST BE MADE PRIOR TO 4 00 PM THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE <br /> TO SCHEDULE CALL(299)981-4298 MANIFEST* 3 TSUBJECT TO D SCHEDULE GALL REFUSAL PON ARRIVAL <br /> ONGOING DAILY OEUVFRIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> MANIFEST- 53062 <br /> GENERATOR COPY <br /> GENERATOR COPY <br />