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� �I♦ II• � I• � � � � � �� ■ter �� �r vicv►�nnL IVUIhI-C9ML MI�LJVV r7 rwk,I G IVIr+Irrrca l NON-HAWDOU3 WASTE MANIFEST INCORPORATED YASTE TREATMENT AND DWPOSAL-FACLrrY �6RWARD INCORPORATED WASTE TREATMENT AND DISPOSAL FA UTY JOB ACCEPTANCE NO y JOB ACCEPTANCE NO. - ; L: Th LPe1J6 SCUN ❑GL.OVES ❑GOGGLES❑RESPDRATOR pwwD HAT •n �: = ❑TYVEK ❑OTHER ❑GI.S, ❑GOGGtES©RESPIRATOR ❑HARDHAT ❑TYVEK []OTHER ULL Y SPECIAL HANDLING PROCEDURES R _ !: SPECHANDLING PROCEDURES C) T �.rc� L�pk+TiPFR3ON�t]...r�._.:r�� _ -.�,�re+t,� CO_ffDICT ��..:`n��-'n.a ��1•�- / yl "- ofAvrH/OyRs�4 TITLE t, o�AjT� - Vi STE TYPE _ _ - RECEMNG FAL1LM___ _ * "i G+tG l �IULf R WASTE TYPE RECENING FACILITY- ❑SLUDGE Q SLUDGE ❑ TREATMENT SOIL ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑TREATMENT 5DEL p SLUDGE (ABLE ASBESTOS FORWARD INC LANDFILL ❑ DISPOSAL TIO ❑ASH 9999 SOUTH AUSTIN ROAD ❑DISPOSAL SOIL ❑WOOD p CONSTRUCTION sOlt ❑ ASH 9999 SOUTH AUSTIN ROAD • �1oTHEli '.,LG MANTECA,CALIFORNIA 95336 0 CONSTRUCTION SOIL ❑ ASH , . r 5aTHER MANTECA,CALIFORNIA 95336 GENERATING FACILITY (209)982-4298 PHONE GENERATwGFACILI'TY (209)982-4298 PHONE (209)982-1009 FAX (209)982-1009 FAX NAME NOTES s TRUCK NUMBER NAME r rt 1 L �L `D .l� NOTES TRUCK NUMBER 7 , L i, 11 -� i ` ADDRESS ,� - _ - •r1 ��1 ADDRESSr'1 -14 �V . GTfY STATE art , r ` .VSs ►f-' .CITY STATE,ZIP PHONE EY-OFFVS) P BOTrO+.+DUMP TRANSFER I��'L�1=S I Cr , / �5� !/'1�G�)) �T� `f �� ❑ ❑ PHONE t� E D oL9aP BOTTOM DAMP TRANSFER SIGNATURE Or*6 0011 D AGENT OR DRrVER DATE RO FLAT BED VAN DRUMS -"�C/`� )�'"7 © ❑ © ❑ ❑ Q SIGNATURE,01'UTHORIZ&AGENT DR DRNER DATE ROI OFFISI FLAT BED VAN DRUMS FORWARD INC LANDFILL CUBIGYARDS Cr FORWARD INC LANDFILL cualc Y Forward ated rove no obl plion to accept rte waste A"822 or Gum j U 0ord on's snow the%ale and efteetrve deposal ot de waste or A the waste DISPOSAL METHOD' (TO BE COMPLETED BY FORMAD) Forward"have nO oblgatron b actepl the wase A weather d<ether Anpm the safe antl sheet operation of Ife Landfill Forward&W use oerrdd,ens Brise the sate antl atlectwe drmOSW Of the waste or A the waste DISPOSAL METHOD' (TO BE COMPLETED BY FORWARD) masonebla ertorts to promptly notdY D40m of ft nablsly 10 scce01 Ike BSO I AERATE IMCKPLf OTHER enpaes the sale and ellettrw operation of the Landfill Forward shall use wase fpr any reason d Forward s refrssel to acted tlfe r+aak a based an ❑ reasonable ell"10 promptly notify D,spoear of ds madtny 10 aCCapt Ore 1310 AERATE SIaeml OTHER weather or ofhar pts Cadd*m Forward shoe notdY Ife Dapoaer when site SOIL Waie 1m sill reason d Forward a retusp W added 9e waste u baSetl an ❑SOIL c0rddms are 4-PWad to charge such that Forward wAl be able to sacro weather of OVerr site Condtroru Forward ahntt notdy the Deposer when arta waste C]SLUDGE CCMdima are"psctsd m rgouc change h V4t Forward wim tie able to accept Iffe REMARKS © the waste ❑SLUDGE NON FRFABU! the NON FRIAna FACILITY TICKET NUMBER ASBESTOS ©ASBESTOS ti 0 WOOD FACILITY TICKET NUMBER r 0 WOOD ``*NapRO6�- DATE [3 ASH ASH AUTHORrZEDASaENT I DATE W- ❑ASH [3 OTHER * - / ❑OTHER SCHEDULING MUST BE MADE PRIOR TO 400 P.M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DEUVER19S MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SCHEDULING MUST BE MADE PRIOR TO 4 OO P M THE DAY PRLOADS PRIOR TO EXPECTED ARRIVAL a ANY UNSCHE0l1LED ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)982 4298 MANIFEST, 53073 TO SCHEDULE CALL(209)982-4298 MANIFEST. 53 0 7 4 GENERATORCOPY I , — I GENERATOR COPY