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DRWARDNON-FIAZARDOUS WASTE MANIFESTINCORPORATED 'tc W'� WASTE TREATMENT Arm MSKoSAL FAcnm 114 N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACS JOB ACCEPTANCE NO. JOB ACCEPTANCE N0. �A.MrS iri TOIJ ❑GLOVES ©GOGGLES❑RESPRAroR ❑HARDHAT GLOVES ©GOGGLES[]RESPIRATOR ❑�T ❑TY1fEK ❑OTHER []TYYEK []OTHER SPECIALHANDUNGPROCEDURES a�a SPECIAL HANDLING PROCEDURES aP„� � � -{ -r• CA, 30 - ONmtr A5k �z � �< 't r?�/�`7/�f SKiNA?L>Rf of ulTHORLZED 4ENT 7ITLE DATE:a Yz` Yliks E TYPE RECEMt IG FACiITY YWSTETYPE v _ RECEAIINOFtZLRAY:�.7=t—_r SLUDGE ❑ SLUDGE ❑ TREATMENT SOIL p NON FRIABLE ASBESTOS FORWARD INC LANDFILL • p TREATMENT SOIL ❑NON FTTIABtE ASBESTOS FORWARD INC LANDFILL ❑OISPOSAL SOtL © WDOD 9999 SOUTH AUSTIN ROAD • ASH ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL p ASH ❑ 'OTHER 5",if- MANTECA,CALIFORNIA 95336 C] CONSTRUCTION soft 13�TM�A -5 MANTECA,CALIFORNIA 95336GENETMRAF (209)982-4298 PHONE GENERATING FACLIT Y (209)982-4298 PHONE (209)982-1009 FAX (209)982-1009 FAX NAME NOTES TRUCK NUMBER NAME r NOTES TRUCK +i a _ ADDRESS � --� ADDRESS C- _ 133L- ?r1 LI LI N-1E b"C 4 t�1 3a7 7 . CrTY STATE,ZIP CITY BTATE�P - _ C P- C" �J SSC �1 GT PHONE I END DUMP BOTTOM DUMP TRANSFER L��C i c STC I Ca , `ri 5� rENO DUMP BOTTOM DUMP TRANSFER r }��` `�7 4 -e4 f CC r ❑ ❑ PHONE • , ❑ ❑ SIGNATURF F ZTkIORIZED AGENT OA_QWER DATE ROLL OFFLSL FLAT BED VAN DRUMS � � ��55 -Lt�� ❑ ❑ ❑ ❑ SIGNATURE OF AUtTHORIZED AGENT OR DRNER [DATE I, ROl M�LSI FLA��D ❑ ❑DRUMS FORWARD INC LANDFILL cuEucs CUBIC YARDS /4— Fe it ORWARD INC LANDFILL f Fdrwa.d ahah sale an offer n la+cceAl the he wase or A Ir w aver oonde,ons imoae the sale and eliecfrve Qgoosal d are wane or d Ina waste ofSPOSAL METHOD (TO BE COMPLETED BY FORWAAD) [FACJUrY rward chap have no oblgalw to accePt the waste d weather or other snpms the sale and effe*4 operation of the Lubtiu Fo—"stall use DISPOSE glp AERATE BT Wei OTHER ns wrkW the Sala and effedrre damsel of the waste a a the waste DISPOSAL METHOW (TO BE COMPLETED BY FORWARD) reeso atae eflotU to prw"y rohh'Disposer d As radury to atop,the — we sale and effectm operation ot the LaMB! Forwud shall use ` gp AERATE SMCKFIX OTHER waste for any reason 0 Forward a rel"W to accept she waste u baseo on - - bla elorta to pmmpfy nahly 0.5poser of rle vmUlity to bcc W the / weather ce other an*axditlms Farwartl alias nolgy the Ot=ser when DT any reason a Forward s refusal th steep!Lha waSle 13 btueQ an � � eonddians are mrpected to Marge such Inst Forward wie be able to accept or other s4e conddiora Forward shall notily the Disposer when sd the waste ❑SLUDGE *are eapedad to Marge such Inst Forward mh heads w- ` REMARKS te ❑SLUDGE NON FRIABLE ❑ASBESTOS KS ❑ANON FFMOLE SBESTOS FACILITY j1�KET NUMBER ©�D J TJGKFINUMB / �D $IGM*RE F AUf�iOR12E AGENT DATE []ASH UPE,f,4JTHORIZED ENT DATE �' 1 ❑ASH * I .�� f^ I —00T HER p OTHER '~ SCHEDULING MUST BE MADE PRIOR TO 4 00 P M 7HE OAY 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 SCHEDULING MUST BE MADE PRIOR TO b 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 TO SCHEDULE CALL(299)902-4298 MAN:FEST. 530 64 TO SCHEDULE CALL{2091982 4298 MANIFEST# 53063 GENERATOR COPY L r GENERATOR COPY