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NUN-h t rtJ I0KWA WASTE TREaMENAND DISPO &FACamOpWADL NON-HAZADOUS WASTE MANIFEST INCORPORATED INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY JOIE ACCIE<PTANCE NO. • JOS ACCEPTANCE NO. r (� im- C]GLOVES ©GOGGLES❑RESPRgOR ❑HARD HAT []GLOVES ❑GOGGLES❑RESPIRATOR ❑HARDHAT 1 ❑rrvEK ❑OTHER ❑TY-VEK []OTHER I SPECIAL HANDLING PROCEDURES SPECIAL HANDLING PROCEDURES • _ _ L,p�tt-2�CA 95330 _ __ PEiat! _ PI r s�cnvaiJR� r � -�-��- SIGNATURE OF At1TH4F=AGE R-Tj %VAMTYPE__w k a RECEIVPIG FACILR�Y WASTE TYPE - i .< RECEVlMq FAC&V2 _ �. _ ❑SLUDGE [I SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑DISPOSAL SM ❑WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH '^ ❑ CONSTRucnoN Son- ❑,�, WOTHER -�y� �� MANTECA,CALIFORNIA 95336 [YO-THER 5#� ,Lt MANTECA,CALIFORNIA 95336 I,SRAT,r,QFAC„LI,Y (209)982-4298 PHONE GENERATING FACILITY (209)982-4298 PHONE (209)982-1009 FAX (209)982-1009 FAX NAME NOTES TRUCK NUMBER r i NOTES TRUCK NUMBER {�-.} 1 , NAME {t�� T _ _; �s YC' �i i 'LL)PC' `l�-! ADDRESS I� -�6' ij!r 4I3 r `� ADDRESS 336 -pat.LU-3f- aoe, 3.3r 7 Orry STATE ; ' ` �'_• /_�' r�L . CITY STA ZIP PHONE END C1U_MP` BOBOTTOMoLriAP TRANSFER M�O �ZT1 ,Cp �535K /v,t/ •S r ,! PHS END DUMP BOTTOM DUMP TRANSFER -( �7� c I`� © ❑ � ❑ ❑ SIGNATUI'�E QF AtfTHORIZED AGENT OR DRN�FA� GATE / ROU.-OFFS) FLAT BED VAN DRUMS SIGNATUREOFAUTHORIZED AGENT OR DRIVER DATE ROLL-0FF{S1 RAT-BEDVAN DRUMS * Ili ��'_` / / �(� T�` ❑ ❑ ❑ ❑ ��¢••�-^ l_•��• 1911cl-95- Cum YARDS FORWARD INC LANDFILL FORWARD INC LANDFILL AMS ' Forward ahett have ro d>1r9alrOn m accept the waale d.vaatnar o attar Forward ishan have rho pbgalrorr m atteW tna waste Y weashar a other /CU7cardrtwru mpau ar uta aril effective tlraoasal d the waste a d uv waste DISPOSAL METHOD (TO BE 7AERIEH RV IlcondOW4 mpair die age WKI eftechve disposal d this waste a Y ail,waste DISPOSAL METHOD, (TO BE COMPLETED BY FORMRD) reason tis arta nd Nfecve operation d Irre t.arrdlia FgrWafd ansY we P0� glp OTHER re9aWnade eltots to prompth rgWy Disposer d as anabrlay w iced the nrpaaa the sate and elfectwa eperatro,d the Landfill.Forward 00 nae °uPO�iE gt0 AERATE OTHER waste to airy reason a Forward a refusal m acted the waste w based on �,C�— r reaienettle eHORs m promptly nohfy Disposer d rte mabWty m accept bre weather a dnrr axle cordilrorrs.Forwan)was ntNry tree Drsooser when pas u^n^` waste Io any reason k Forward a rerwat m accord the wash Is based on L cddrlgrrs are espechd to charge sato that Farwerd rnY be abk to accept warm or other sde oorddraln Forward ahaa rwWy bis Disposer When Site the waste ❑SLUOGE co chtrorts are expected to mange arch OW Forward arra be able m accept this waste ❑SLUDGE ' REMARKS HON FRImLE ❑A58FS106 i REMARKS ❑NON FRL48LEASSESIM FACILITY TICKET NUM13El� /� ©WOOD FACILITY PCKVNUMBER ❑WOOD OF�AVTHORIgD AAENT BATE ASH SIGNAfIJR�/aF AUTHORIZED/IGENT `i/� ❑ SIG" t!/"/ % L' t IC's ❑ASH * !� �.!, / ❑OTHER TQC i/, L 14 i l• OTHERr SCHEDULING MUST BE MADE PRIOR TO 4-00,PJd THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 4.00 PM THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL.ONSviliNG DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELNERIES MUST BE SCHEDULED VAT)i THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(4691992 4298 MANIFEST e 5 3 V 6 D TO SCHEDULE CALL(209)982-4298 r MANIFEST. 53065 GENERATOR COPY GENERATOR COPY