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FRWARD NON-HAZARDOUS WASTF MANIFEST II QRWARD NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED VOSM TREATMENT NM IMSPOSAL FACILITY INCORPORATED WASE TR@ATMW AM DISPOSAL FACILFFY <br /> JOB ACCEPTANCE NO. JOB ACCEPTANCE NO. <br /> ' ANA „ti, ,,n „ -- INE CECU HENT <br /> m. ❑GLOVES QOOGGLES©RESPIRATOR HARD HAT !�t L�„y_�T QGLovES ❑G000LES[jRESPIRATOR ❑HARD HAT <br /> QTY-VEK ❑OTHER S er ” j-- ❑TY VEK ❑OTHER <br /> 'C' +SPECAL HANDLING PROCEDURES_QffQm SPECIAL HANDLING PROCEDURES <br /> CFIY - ' <br /> A2D C 3a �_ I ;i Com► 9 0 <br /> [TUOF_ ANTLF DIVE W'" y, SIGNATURE OFAUfNORRE'DAGEFffl TRLE _ DAlEI� I <br /> �/ * L �..t �1, '�, <br /> vvzrETYPE '_ _ RECEIVINGFA IUlnf vas TYPE RECENWGFAGLLlTY <br /> GE <br /> ❑ TREATMENT SOL p NON FRaeIE ASBESTOS FORWARD INC LANDFILL ❑WONSLUFR FORWARD INC LANDFILL <br /> • ❑DISPOSAL SOIL Q V4'000 TREATMENT SOIL ©NON FRIABLE ASBESTOS <br /> D DISPOSAL <br /> CONSTRUCTION SOIL �ASK 9999 SOUTH AUSTIN ROAD - ❑DISPOSAL SOL ❑WOOD 9999 SOUTH AUSTIN ROAD <br /> C�OTHER �LY lc MANTECA,CALIFORNIA 95336 ❑ CONSTRUCTION SOtL II'ORTHER S"ccL'f ll� MANTECA,CALIFORNIA 95336 <br /> GENERATING FACILITY (209)982-4298 PHONE • GENE RATENGFACILITY (209)982-4298 PHONE <br /> (209)982-1009 FAX (209)982-1009 FAX <br /> NAAAE—t i, " NOTES, E- +Gs" �= TRUCK NUMBER NOTES <br /> =171 <br /> ` <br /> NAME <br /> ADDRESS `)Cl 1387 ADDRESS <br /> CITY STATE. L <br /> 1 Y11�TIC`+`�.' r cS t /L! CITY STATE. _` ors <br /> END DUMP BOTTOM DUMP TRANSFER I Y �'tS I A' L' � ENp P BOTTOM DUMP TRANSFER <br /> PHONE 1, �i ISL ❑ ❑ - PHONE _ ❑ ❑ <br /> SGNATUFlr&AUTHORIZED AGENT OR DRIVER DATE RALLIOFF(S1 FLAT-BED VAN DRUMS ��//� f <br /> ❑ ❑ ❑ ❑ §IGNATUR' �/WT�IORI[EiyAGENT OR DATE ©(s)_ FLAT-BED <br /> A DRUMS <br /> a 1, <br /> FORWARD INC LANDFILL cuelc '�` <br /> FORWARD INC LANDFILL <br /> forward shall lr.v no obrpalcn b aocW Me wasted weather other �, Forward Nall hsA no obj W Wn to 6=gpl the waste d weather u olhof <br /> cmWioxi"pall the sale urd theatre deposit d the watt a d the waste DISPO ALM (TO BE COMPLETED BY FORVdkRDI c�,o„e+rpt•�sorb rd eflectr.e tl•peaal d the waste a II e,e wade DISPOSAL METHOD' ITO BEG PLETED BY FORYY bi <br /> "pars the sate ma eHe6trvt operator"of the LardlIS Forward NW use BIO AERATE OTHER <br /> ressonteu&IWU to pro"d4r r�IY D's~d ea"abrhly to aeead the anon"the safe to etlecbve ppdy Da of Ura Landfill Forward Halt tae 610 AER/tTE OTHER <br /> waste Por VV reason K Forward a rearsal to accent the erase Is based ort reasonable Mgfire o 0 Forw r$ k"to rod ds he w& b stator the v...—L.:— <br /> weaMer canter ede CondAnns Forvrerd strait notdY tM DnPoaar when arlt SOIL I west for arty reason p Forward t ward b acted the wase 6 who <br /> m <br /> urdrtrorn are aapectad b crarge avUr that Forward wrs tx a4le Ip accxd weather or other site cond+bau Forward Nab rbtdy the prsposer when site <br /> the waste [3 SLUDGE tontldionf aro aspected b chug.tYh first Forwart wra ba eh4 b acted <br /> the wAM _ _ _ ❑SLUDGE <br /> ` REMARKS ❑ ` - 39 — �_�9_ _ r , <br /> NON-FTiIABLE REMARKS .�._ — _ � — WON FRIABLE <br /> r- I ❑ <br /> FACILITY TICKET NEIMBER -, ASBESTOS ASBESTOS <br /> ❑WOOD FACLLrry TICKET f NU_ �_ _- <br /> WOOD <br /> $�GfR4TUF}g OF AUTUORIf ED AGENT �1 , }DATE ENT'_ <br /> /r a ❑ SC J /IUTHORIZED ENr ASH <br /> ,� L, <br /> ! .� ❑OTHER 150THER <br /> SCHEDULING MUST BE MADE PRIOR TO 4W P.M THE DAY PRIOR TO EXPECTED ARRIVAL-ANY UNSCHEDULED LOADS ARE THE <br /> ADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SCHEDULING MOST BE MAOE SUBJECT TO REFUSAL UPON ARRIVAL O 44 DAILY fIA3YERIES 5 T BE SCHED D WITH THE LANDF�LL THE DA�YyBrEFaORE <br /> TO SCHEDULE CALL(20919$2-4298 MANIFEST t 53067 V TO SCHEDULE CALL(2091982-4298 MANIFEST 0 5306 o , <br /> GENERATOR COPY <br />