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� �� Ili � � � �� ■ �■ � w■ � �.�� .�■ } FORWARD NON-HAZARDOUS WASTE MANIFESTORYYAIu! -- NON-HAZARDOUS WASTE MANIFEST INCORPORATED WASTE TREATMENT AND DISPOSAL FArALLTY INCORPORATED Vr<4ST>"TRFAT�AENT AND�''�''� FACILITY JOB ACCEPTANCE NO. ) JOB ACCEPTANCE NO. �e a J S QRESPWATOR pHARO HAT _JAKES 1! []GLOVES []GOGGLES❑REOR ❑HARD ❑TYVEK OOTHER � TYVFK ❑ BQ> 97 SECIALHANDLING PROCEDURES BOX- SPECIAL HANDLING PROCEDURES • LA M900, L _ P A 95991) a.x raa-rc-..c PHONE r-___ 209-957 5981 249-9537-5981 _. s '*' y_7, .,F o0trn�'CQE�iSo�F k OONTA[S�PERSON 'y't' JAII HEM4T-CKS41`I Tb ,.-�-- IAyI l tIRYGKSDN AGEItF tL� SIUNA ,J{ ZTfLFe`� _ * r( OF AGE `t V0511E TYPE _ _ RECEIVING FACNJTY v - _ WAS-M TYPE_ RECZNIN9 FACILL[Y D SLUDGE ❑ SLUDGE F]TREATMENTSOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL TREATMENT SOIL I-]NONFRIABLE ASBESTOS FORWARD INC LANDFILL p DISPOSAL son ❑ '+MOOD 9999 SOUTH AUSTIN ROAD ❑DISPOSAL SOL ❑ 'MOOD 9999 SOUTH AUSTIN ROAD ❑CONSTRUCTION SOIL ❑ ASH ❑CONSTRUCTION SOIL D ASH q OTHER STOCKOILE MANTECA,CALIFORNIA 9533& ❑OTHER 'Tec«.L`_ MANTECA,CALIFORNIA 95336 GENERATWGFACILIY (209)982-4298 PHONE SHIT IACL GENERATIING,FACIL" (209)982-4298 PHONE L" I Ji +" 'S ". "c - +�50T"'S 3-17 S T"L.L= 209 -1009 FAX 13595 SEV5++ TT (209)982-1009 FAX ,_5 4Fkc 'T+ ST ( 982 ) NAME NOTES TRUCK NUMBER NAME " NOTES TRUCK ;UMBER 9iC1+ 49 +_LT71r TRIM10" 4/ '1 �!' L r -r j Ha tI,TO,I TR+IC.i +C Y' �I.LLdit y ��' ADDRESS C c 6 • ADDRESS 1,'-3 API'L.T IC AVE LOtD K 24n 2-1- 7, 11---E qy_ CITY STATE ZIP LOAD ` 'C? T .CITY STATE ZIP . d J?5 2 j`I _ , CA v-_' END DUMP BOTTOM DUMP TRANSFER • PHONE END DUMP BOTTOM DUMP TRANSFER PHONE 9+ o-;TS-..tCe ❑ ❑ 13r -^/ --1- ❑ ❑ SIGNATURE�4 AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS SIGNATURE,0 fSf1THORIZED AGENT OR DAMR DATE ROLL OFF($) FLAT-BED VPN DRUMS r FORWARD INC LANDFILL CUBIC YARDS FORWARD INC LANDFILL `'`�YARDS 1 fr/ ther Forward"haw no oblgatwn to accept the waste A weather a other { Tawe p shah hew ro eflec to[]case the waste Y a or A r a age iv cond lora wpm the sale and aftecture daoosat of Uv waste or e the waste �pO�METHOD, (TO BE COMPLETED BY FORWARD) conadrorss erpar tt+e cele and eoomt disposal d tfv wase ora S waste DISPOSAL METHOD' (TO BE COMPLETED BY FOOTKRDI MOM the Late and aded+w ooerat�on of the LandfO Forward[]hell use SPOT BID AERATE OTHER esba+rs the Tate and etfectny otity a of the Llb n mY U) snail use gp AERATE D711ER treasonable eltorts ro Ra�IY nohtY DoPoaer d de nah4ty b W-00 the reayor+ahle efforts to Prbrrptry np5 r L"to r d pt rn waste a abase the waste for tear realm U Forward's refusal to accept the waste a Eased an waste for any reason U Forward s retuset b[]case the waste a Lased m ©SOIL weather or doer she cmdtrana,Forward"ro*the D= w when arta ❑SOL weather or other ante cowila s,Forward"rotdy ow 0400ser wr*n Lne cortd-twrss are expected to dmw subh that Forward wig be Ade to accept catdd*m we expected to cMrge such that Forward mN be ads IP sccee [)SLUDGE the waste ❑SLUDGE the waste REMARKS NDN FR3ABLE REMARKS ❑1ASBE,1014-FRIABLE ❑ASBESTOS FAGIUTY TICKET NUMBER �� OS FACILITY TICKET NUMBER ©WOOD r-- ❑WOOD SIGNATLIR,FA� DA1E $IGNATURAUTH�FiBEb A6Nf l DATE ❑ASH r ❑ASH - - - — L� HER SCHEDULING MUST BE-MADE PMOR'TO 4.00 P Mf THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR=P M THE 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 SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WTH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)982-4298 MANIFEST. 53083 TO SCHEDULE CALL(209)982 4298 f MANIFESTO 53084 GENERATORCOPY _ GENERATORCOPY ' _ 1