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UKWANDN-HAZARDOUS WASTE MANIFF-bI O�1'f'r11iLl NON-HAZARDOUS WASTE MANIFEST I N C O R P O R A T E D NW5iE iAE/17MEM AND DISPOSAL PAc,rLffY N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY �-C� JOB ACCEPTANCE N0. f JOB ACCT=PTANCE ,N0. y,tl,, I taN ❑GLOVES © 5 RES W" ❑I RD HAT ❑TYVEK ❑OTHER �rMC ❑GLOVES ❑GO_�1110 rim GGLES❑RESPIRATOR ❑HARD HAT SPECIAL HANDUNG PROCEDURES ❑TYVEK [:]OTHER O SPECIAL HANDLING PROCEDURES 'Tfft _ SIGMA OF ALITRIOAl2E01�sENR T[i1 E Ll4TE)EAS- OF / A— DkE YtRu TYPE - / _ RECEMNGFWC�IIfY w:_iy , VOZTE TYPE ,, _ _ RECEIVfNGFACWY_:,- ,� �, s.-.` _ ❑SLUDGE FORWARD INC LANDFILL ❑SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS ❑TREATMDrr SUL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL 0 CONSTDISPOSRUCTION TIO ❑ +� 9999 SOUTH AUSTIN ROAD ©coNsrRUcnoNsal ❑ AsH Le MANTECA,CALIFORNIA 95336 " ❑DISPOSAL solL ❑ hoop 9999 SOUTH AUSTIN ROAD -�nTHER S}��;� ❑ CONSTRUCTION SOIL ❑ASH -�oTHER S�Vpl�, MANTECA,CALIFORNIA 95336 GENERATWG FACILITY (209)982-4298 PHONE • GENERATINGFAaUTY (209)982-4298 PHONE (209)982-1009 FAX (209)982-1009 FAX i n NOTES NAME TRUCK NUAABER NAME _ ADDRESS✓ TRUCK NUMBER I ' , 114v3-1-/3 h y �!CA Nt ;'$ s. ADDRESS h YE Zp STAT f � �A LI,L L t�� J r , = !3� 7 ^`~ v i� ti -r C END BUT DUMP TRANSFER . CITY STATEZ]P { /A/,b 5 q PHONE _ _ ❑ ❑ S 1 Z C P ,`�rS � PHONE END DUMP BOTTOM DUMP TRANSFER SIGNATURE F�LEITH6RvED ENT OR � f 4` DAFFIS) FLAT BED VAN DRUMS + r ' TE ROLL-OFF(S)r ❑ ❑ SIGNATURE�AuikAIZED AGENT OR DRIVER DATE RDLL-OFF(S) FLAT RED❑ VAN DRUMS *� , � I ^�' �' ❑ ❑ CUBIC YARDS FORWARD INC LANDFILL FORWARD INC LANDFILL cuslc YA� Forward kroor o at�d ff&Ct m accent the heart d#oritWeather e otter cord,trons krpyr the sib u+d ekacswe disposal of by rant a d tna waste DISPOSAL METHOD' (TO BE COMPLETED BY FORYNARDI Fawad etytl have no obfpetion eo acteW the waste tl weather a otter r npurs Me silo and etfechve ooaratron oe the Lend flq Fpwsd tfun ws 8!0 AERATE OTHER =dtwa mph"safe and choctme dapoeet d the wast*or tl Hy waste DISPac,gL [Rio BE COMPLETED BY FOFMWRD► rcaso ytxe etlans ro promptly0For nosily Disposer 40 c da the wVWWto accep Ion enpara on we and etfeem operation of the Lar" Forward shell Tae BIO AERATE t7niER waste lot aro Hasan.p Forward a rcNsal b ecnot the wsiu te basad rhe raawrybM Hbrta to promptly ndbfy Dmpoaer d si viability b except Vie weather or other site cOrddasts Forward 0A no*the Oemsor when uta ❑SOIL haatt for ason,a Forwards refwec af to cePI the waste y Rased on the w ons arc sxpeated to chariot ouch Out Forward will be able to acceG rty tie weather a other We coniort"m Fawad area notify the Disposer when jute, ❑SIL the waste ❑SLUDGE earde,ana are espeeted to"W ouch that Forward w4 be ode so accep! • REMARKS NDN FRIABLE the waste SLUDGE ❑ASBESTOS REMARKS r` ❑ADOBES FACILITY TICKET NUMBER /) ❑u�o0 FACILITY TICKET NUMBER © D �,�DF AUTHORIZ; AGENT DATE ❑ASH SIGNAT,k4*AUTHO8IZEDAENT 1 /r DATE ❑ASH _ V + ❑OTHER SCHEDULING MUST BE MADE PRIAWTO-9110 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE J SUBJECT TO REFUSAL UPON ARRIVAL-ONGOING DAILY DELIVERIES MUST BE SCHEDULED VATH THE LANDFILL THE DAY BEFORE SCHEDULING MUST BE MADE PRIOR TO 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE TO SCHEDULE CALL(209)982 4208 MANIFEST. 53070 SUBJECT TO REFUSAL UPON ARRIVAL-ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)982 4280 MANIFEST 0 53069 GENERATOR COPY I GERERATORCOPY