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> r NON-HAZARDOUS WASTE Ma lftbI UKWAKU FORWARD NON-HAZARDOUS WASTE MANIFEST ' !N C O R P O R A 7 E P ��T�A��AND. FACC.lFY Smumm14INCORPORATED MSTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE N0. JOB ACCEPTANCE NO. ' • N ❑GLOVES 0GOGMES❑RESPIRATOR U—HAT b5 ❑TYVEK []OTHER ❑GL.alEs ❑GOGGLFspREsnwATUR HARD HAT SPECIAL tw IpLItdG PROCEDURES a []TYVEK [-]OTHER SPECIAL HANDLING PROCEDURES C a L� - �" '-rr� �'-sr^• SIGAUy �OF D AGENCY , pkTE'ff ff W '>�' f -•, �I � f I I Z�'ll15'CrS g4,NQI>E gF At1TF1�Fi�D AG6NT I TITLES ISE,— r RECEMNG FACW •_�=-- * ( itv� / c C�� ! - TYPE �- - v,nsTETVPE _ - _ RECENINGFACBITY - __ p SLUDGE FORWARD INC LANDFILL ti [] TREATMENT SOIL ❑NON FRIABLE ASBESTOS ❑ SLUDGE 0 DISPOSAL SOIL ❑WOOD 9999 SOUTH AUSTIN ROAD ❑TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ CONSTRUCTION SOIL ❑ ASH • ©MMSAL WL ❑WOOD 9999'SOUTH AUSTIN ROAD OTHERCMANTECA,CALIFORNIA 95336 ❑CONSTRUCTION SOIL ❑ ASH (209)982-4298 PHONE OTHER 5-ck'ptl-G MANTECA, CALIFORNIA 95336 GENERATING FACILITY (209)982-1009 FAX GENERATMFACLTY (209)982-4298 PHONE (209)982-1009 FAX TRUCK NUMBER FM NAME � � �r NOTES NAMNOTES E TRUCKNUMBERADDRESS ADDRESS ^ ='C 31 l: CITY STATE ZIP i ; + TRANSFER f•'«h-t I�.c J1�G. --_ � � r END DUMP BOTTOM DUMP .Lary STATE 1 N `l PHONE _ -�.s '&' 0 Cl CI`- (J� � ��C _ (� ROLL�OFRS) FLATBED WW DRUMS PHONE } ' END DUMP BOTTOM DUMP TRANSFER 0 -L ST?`S ❑ ❑ SIGNATURF�OF`AU RidRI1EQ AGEN7 0R DINER DATE ❑ ❑ ❑ •/rye .�7_ Y/ �r� i SIGNATURE O�'AUTI•KSFGZED AGENT OR ORVER DATE ROLLOFF{S} FLAT BED VAN DRUMS ±-= �� i CUM YAAOS FORWARD INC LANDFILL ! , FORWARD INC LANDFILL CUBIC YARDS Forward"hm no ObWtron to aceed It*waded weather«either D BY FORVJMRD) condeions inxW tte trate end elfectme deposal d the waste a e ore waste QIS OSAL AdET}'IOD' (TO BE COAtiPLETE anprn the salt and e(,Oct"operahan d the LandIj Forward 00 use 0I0 AERATE S1010a OTHER Forward ahea hays no obApatron to axepl be wase d weather a atter naaonad0 atldfiS to PrdmWM nd'ty pisposar d as natmLly to acetal the cdr WWW mUm dr sate and ettdctn*depa+at d the waste or d the waste �K SAL METHOD' {TO BE COMPLETED BY FORV"M wase fa Ory reason tl Forward a refusaa m accept IN waste a bedon 0 SOa, orpaaa Ue sale and attec"opmWm of the Lan&l Forward shag Las f310 AERATE 07FER weather gr atter rte conod For ahaG rroafy tM OSe raasorebM Nbrfa to prorndty no*Drapow d da FWA*y to xced the corddrdna w 4a 10 wn9e such that Forward watt nt abls to accept wash far any mason X Forward a rak"to axed the warts A based On ❑SLUDGE waatl,er or cow site cordaroru Forward anatl notify the Deposer when site ❑SOIL Ue waste co ddraru No ewected to char"Ouch that Forward ws be able to arced REMARKS ❑NON FRIASUS the waste ❑SLUDGE ` REMARKS NON FRIABL8 FACILITY TICKET NUMBER ❑WOOD ❑ - FACILITY TICKET NUMBER ASBESTOS Skr,NAUA&q AUTHC1j4ZE0,*ENT DATE _ 0 ASH SIGf7A�TURE AITTHOR ❑WOOD '- `1 I_ ti ❑OTHER GATE ❑ASFI _ — -ter f []OTHER SCHEDULING MUST BE MADE PRIOR TO 4.00 P M THE DAY pRtOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED MnTH THE LANDFILL THE DAY BEFORE SCHEDULING'MUST BE MALE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE T4 SCHEDULE CALL 1200)982 4298 MANIFEST- J 3072 SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE GENERATOR COPY TO SCHEume CALL(206}482-4298 MANIFEST. 5 3 0 7 Z GENERATOR COPY