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Bob 1111M 1111M Imil FORWARD NON-HAZARDOUS WASTE MANIFEST ORWARD NON-HAZARDOUS WASTE MANIFEST I[Y C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY INCORPORATED WASTE TREATMENT AND D15POSAL FACILITY " JOB ACCEPTANCE N0. JOB ACCEPTANCE N0. M� ❑GLOVES ❑GOGGLPS Q RESMATOR Q HARD HAT S M A N S TO N NEWSOM— []GLOVES ❑GOGGLES RESPBtATi]R FIARO NA7 1 CITY--VEK ❑OTHER []TYVEK ❑OTHER _V �. BQ)C 97 ( _ P 0 BOX 97 SPECIALWWDLINGPROCEDURES mac_ q� cis SPECIAL HANDLING PROCEDURES • - LATRHOP CA 95330 ___LAT B�,PrCti 9�3� * - 203-957-599 203-957-5981 • !+';" JAN_ Hr:IthHICKSOrrt JA`l OFAUTHORM AGENT ITf1 ;iQ_ -AUTHORIZED AGE, I TTEy - / * * � D—A/►E''- ' . Y"TE TYPE , _ _ . RECENING FACILITY VASTE TYPE SLUDGE Q SLUDGE Q TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑p TREATMENT SOIL ❑El FRIABLE ASBESTOS FORWARD INC LANDFILL [3 � ❑ MOD DISPOSAL SOIL WOOD 9999 SOUTH AUSTIN ROAD [3p L3DISPOS IIGT1 L SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD ❑CONSTRUCTION SOIL ❑ ASH CON ©OTHER STCC PIL` MANTECA,CALIFORNIA 95336 . ❑OTHER sroc;�IL_ MANTECA,CALIFORNIA 95336 • GENERATINGFACIUTY (209)982-4298 PHONE GENERATING FACILITY (209)982-4298 PHONE LA tGSTC4'S UPIT tw TICKLE LANGSTfln'S 3Ar:T n T'r•LE (209)982-1009 FAX 15615 SEVEPTH ST (209)982-1009 FAX 156'_5 SEVE,ITw s- L'.TPROP, Ca 0 LATHnOP CA NAME SES TRUCK NUMBER NAME NOTES — ,--N -C NUMBER 01CH 'EA TILT?t' TRLIC".T--'tG �/ �� `A l�� P1 CH '+A Si!TOI TRUC�'IIIa q»( � `r ��rl ADDRESS r ADDRESS 133b PAUL?';E AVE L34,) x 9-7 1C36 APULZfIE AVE LUaP 2CE CITY SDITE ZIP I, / ` � (✓ CITY?I n)ESLT 7, A 95150 'J J.� 1"r PHONE`E T O, OA .:C L VEND DUMP BOTTOM DUMP TRANSFEq PHONE ^ END DUMP BOTTOM DUMP TRANSFER El ❑ ❑ 12- 11 13 SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFISI FLAT-BED VAN DRUMS El 13 0 SIGNATURE OF AUTHORIZED AGENT OR�RIVER DATE ROLL-OFFISi RAT BED YAN DRUMS 11 Cl FORWARD INC LANDFILL CUBIC YARDS FORWARD INC LANDFILL n CUBIC Y'A'PS Forward atian have no o6lpaion to accept the wade it weather or other Forward spas haw no etiapabm to accept the waste h wealher or other CoWdms AlPav the Sala and efleclwe 660sal of da waste or d U*waste DISPOS METHOD• (TO BE COMPLETED BY FORVf I cmm m in the safe and eNactwe draposat d the waste or N the weave DISPOSAL METHOD- (TO BE COMPLETED BY FORVMRD) arpatrs the safe aid alfecth*operation of the U rdfot Forward OW use WPOSE 00 AERATE OTHER supers the cele and dvecbvo oparatron d the Lend4il Forward shall use reasoraLfe e9orss to prordpdy mLty Disposes of its sabMy bCC Bep(the reasorade efloRs U prdrrgDA MW fatty MW d do meaty to aceem the rM.OSEBp AERATE IPXMJ OTFI>=R waste tar any raasm p forwards reaual to mzw the waste a Lased on waste for arN reason.P Forwards refusal to sscoepl the waste is Lased an weather or other see condhrora Forward shah rolty[he Deposer when ote ❑SOIL weather or other ole Condom m Forward shes fady the OMPoser when Ode ❑SOL condoms are expected to ctarhpe such that Forward will be able to accept oonddam aha expm"d to chappa such that Forward w of be stile to accept the waste Q SLUDGE ste the wa ❑SLIJOGE ` REMARKS REMARKS BION FRUBIE © � A58EST ❑ASBESTOS FACILITY TICKET NUMBER FACILITY TICKET NUMBER ❑ - ❑VVOOD �t WOOD c SIGNATU}AE-6f_ HO§QED AGENT DATE ❑ SIG OF AU7}}IORFZ�FD�3E �- DATE ❑ASH ASH �-! ER &�ER L MAL a ANY UNSCHEDULED ADS ARE SUBJECTTO REFUSAL UPSCHEDULING MUST BE ON ARRIVAL ONGOING DAIE PRIOR TO 4 00 P M LY DELIVERIES MUST BE STo CHEDULED WITH THE LANDFILL THE DAY BEFORE D ARR SCHEDULING MUST BE MADE PRIOR TO 490 P�DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)9B2 4298 MANIFEST- 53080 To SCHEDULE CALL(209)982-4298 MANIFEST 0 53079 - GENERA7OA COPY GENERATORCOPY