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�r I• imiiiiii0 �.. NON-WARDOUS WASTE MANIFEST FORWARD NONHAZARDOUS WASTE MANIFEST FORWARD WASTE TREATMENT AND DISPOSAL FACILITY INCORPORATED WASTE TREATMENT AND DISPOSAL FAGiLIfY INCORPORATED JOB ACCEPTANCE N0. ' JOB ACCEPTANCE N0. y •�~ _ ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑RAID HAT _—JADES []GLOVES ❑GOGGLES❑RESPIRATOR ❑HARDHAT TO _- M96M TYVEK [I OTHER _Jill Aj r ❑TYYEK []OTHER P Q.BOX, SPECIAL FMNDLJNG PAOCEDLIAES CrTj�Ps 0 BOX 977.*—_-P� SPECIAL HANDLING PROCEDURES -- _ _.a • LaTHR 1. 95330 L4THR7P,�GA B533D PHONF_iL''�r"� ��+t • P IOt W 2"-957-5981 209-957-5981 _ gOFTOtLTpER50N, -' �"= R� R� 1 �IGTPumom-_-_ n : �w i� � _ JAJJ HENRICK50N _ J A P H E NR I CK Sit J SIGNATVRE OF ATITHK7fi12EprAGET(T7'RTLE _ I]ATE�Y �AUTH OFtIZED AGENT%TtRE_;_ DATE ",` * %� J / -� �S • 1ADL51ETYPTc _ RECEJIVYKiFAC4fTY� WASTE TYPE _ AECENINGFAGalTY , ❑ SLUDGE ❑ SLUDGE FORWARD INC LANDFILL 0 TREATMENT SOIL ❑NON F MANE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS • ❑DISPOSAL SOIL ❑ WOOD 9999 CONSTRUCTION SO E]DISPOSAL SOIL p'""0O0 9999 SOUTH AUSTIN ROAD 0 CONSTRUCTION SOIL [I ASH 9999 SOUTH AUSTIN ROAD ❑ IL p ASH ❑ OTHER STOCkP_LE MANTECA, CALIFORNIA 95336 p OTHER cT3t a.s E MANTECA,CALIFORNIA 95336 • GENERATING FACILITY (209)982-4298 RHONE GENEFATWGFACILI Y (209)982-4298 PHONE trAl rY Sr- Lc (209)982-1009 FAX LAI-3Tn "C Tis:7 e 'AC.L_ (209)982-1009 FAX Abla ScItEIITH 3— i5--l' :EV-- ITJ 5'T ^'Irl ", �g TRUCK NUMBER NOTES TRUCK NUMBER PR NAME e (� � NAME r, 'i�a tArILD10 I T ttlt;vTtlr I VP S23 B -J", +14[I'_TC ' TFt!�"T-t! r-j�lfe•+Ltt 1 �`� ADDRESS ADDRESS t J tf Co'G� ^� a e t I t JE n 1E t H al, '•r 12Z`_' P ULZOE A' E + ';^ - .GIFY STATE ZIP . CITY STATE ZIP ^'I�STtI, r t 15"1;0 PHONE END DUMP BOTTOM DUMP TWWFE SR PHONE END DUMP BOTTOM DUMP TRANSFER �� _�7 3-,1 f f � ❑ ❑ 2-1-- S-�' - ❑ ❑ SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE $tGNAT� ROLL-OFF(S)OFFIS► FLAT BED VAN DRUMS n ZED AGENT OR DRIVER DATE ROLLL IS) FLAT A DRUMS ATC. � 1 CUBIC YAMS FORWARD INC LANDFILL CUBIC YAMS I FORWARD INC LANDFILL Forward etratl haus 00 ootpat,on to aCCep the waste of weather or doer Forward shall have no ob6galion to WC the waste d weather Of Other L canddans wnpae the sate and mlectm daooaat d the waste a a the waste DISPOSAL METHOD. BE COMPLETED BY FORWARD) MXUOIs enpm the sale and effactwe dtaposal of the waste or d 1110 waste DISPOSAL METHOD: (TO 13E COMPLETED BY FORWARD) rrpawa the sate and eltocirre operation o!the I.artddl Forward shag use BIO S, OTHER .paws the sale and ellecu"Operation of the l.arbtdl Forward AW use O OMP E OTHER reasonable aMXU 10 prongty notify Disposer of 45 elabady t0 accept the reasonable efbrts 10 pro pay AOhfy Disposer Of da ee Wly to accept the waste fa arty Mason a forward a reswet to accept h10 waste is based M waste for any reason d Forwada refusal to accept the waste rs based W ❑ weather or other site conditions Forward ahaa rG*els Disposer when dile ❑SOL or other dilas le Cordd4m Forward a notify the Dt%VM wiles site SI�IL COrKht".*are expelled to Change such that Forward will ce sole to accept conditions are expected to change aLich that Forward wrs oe able tO accept tte waste []SLUDGE the waste ❑SLUDGE ` REMARKS NON FF40SU • REMARKS � � y, M ©ASBESTOS ❑ASBESTOS FACILITY TICKET NUMBER � FACILITYTICKET NUMBER —f ❑WDOD ©WOOD SIGNATURE DF AUTHOFP AGE i , DAM ❑ASH SIGNATURE OF AUTHORIZED AGENT JDATEASH r [}ETHER SCHEDULING L(USf BE MADE PRIOR 70.4.00 PM THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT 70 REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(2091982-4298 MANIFEST• 53082 TO SQWDULI CALL(209)982 4298 MANIFEST. 53081 .'Oe GENERATOR DOPY GENERATOR COPY