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N ORWARD NON-HAZARDOUS WASTE MANIFEST O�.�RyWA. NON-HA-Z ARDOUS WASTE MANIFEST CORPORATED WASTE TREATMENT AND DISPOSAL FACIUTY FCORPpRAtEU WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE N0: f JOB ACCEPTANCE N0. lip ��JAHES M LAt�GST(}N ©GLOVES �R S❑RESPIRATOR ❑HAROHAT f �mum ❑GLOVES []GOGGLES[]RESPIRATOR ❑HARD HAT ❑TYVEK ❑OTHER P 0 BI X 97y}+e' SPECfAL HANDLING PROCEDURES SPECIAL HANDLING PROGEOURES • LATHROP,MDtjE 209-957-5981 209-957 1 COND14TPERSORF -r r' stL+ airTv. . J JAN HEFIRICKSON J� JAN 4EllRICK5QJ__ AD/ W` cF _ DF A[1i]�AGENT!TITLE Ut� ; r i WkSTE TYPEAECEIVING.FACIL Vif STE TYPE RECEIVING FACILITY ❑ SLUDGE ❑ SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARDING LANDFILL ❑ DISPOSAL SOIL ❑ MOOD 9999 SOUTH AUSTIN ROAD 0 DISPOSAL SOIL © WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH Q CONSTRUCTION SOIL ❑ ASH DOTHER STOr��_'_= MANTECA,CALIFORNIA 95338 [:]OTHER s-jC�=T__ . MANTECA,CALIFORNIA 95336 GENERATING FACILITY (209)982-4298 PHONE GENERATINGFACILRY (209)982-4298 PHONE Lf. :,`T)I': is If TOCKLc !.41 ;S;T l'- 'AT- T3C{L- 15;i_'= sEVE 11 ST (209)982-1009 FAX 1,51 S':1 PJd ST (209)982-1009 FAX LAT ;Do, C, Lill-POP, CA NAME NOTES. TRUCK NUMBER NAME NOTES TRUCK NUMBER Pi:a H' 'I9L!]F' 1iLC:iY'v C ~ n I_ ADDRESS CJI 3 F L, �y IC Ih ITT J TRUC',j'N' 7/ 1215 'IsuLT IE dV- 1 't�A.,s�3 8 ' 4� ADDRESS, POLL_ P '1 L_ 1 .CITY STATE.LP . CITY STATE ZIP '1 " t I / ^1) 1 41j) 'I'J, '^r 7 e r R' T r 5 /•� D DUMP BOTTOM TRANSFETRANSFERPHONE END DUMP BOTTOM DUMP TRANSFER PHONE EN11 13 ❑ O0�-ZTS-Lal © 13 [DIf }�i7�_ i+ , � SIGNATURE OF AUTHORIZED AGENT OR ORIVER JDATE ROLL-OFF(S) FLAT-BED VAN DRUMS �pA ARE V AUTHtE RIVER RLLiSI FLAT BED DRU ZCI ❑ IVT FORWARD INC LANDFILL CUBIC YAMS r„ CUBIC YARDS �f FORWARD INC LANDFILL 1 Forward She?have no odgstan to SCCepl the waste A weatlrr Or other .Forward shoo have no obkPI 0n to ACCeOt the waste A weather a Other b t Wrddnns mase ft safe and effective disposal of the waste or l the waste DISPOSAL METHOD- {TO BE COMPLETED BY FORWARD) cbfdaKm vnW Ihe sate and efteclwe deposal d v*waste a A Ihe waste DISPOSAL METHOD BE COMPEETED BY FORV ARM nom the safe and effec4ve operabon d the Landfill.Forward shah use mesa dle safe and ertactrw operation d the Lardfdl Forward Viae use reasonable efforts to promody nolly Oaposer d N natsktY to accept d,e BID AERATE OTHER reasonable effort"to prbngdy nobjy DuMser d Aa rvbmty to accept the DtSP011l BIO AERATE SrOCA OTHER waste or any reason 0 Forward a nrhlsal to accept the waste Is bused on SOIL waste for any reason b Forward a m+-"to swept the wasle a based on westtwr or odor ale Gond two;Forward d,as ADWy ttw Dabbler when site weather or other ane Con&esx,Forward ensu nobly the Dapbaer when vie ❑SOIL Coedbons are expected 1u,FdurW uch that Forward wit be able 10 accept Condemn are expected to,FrWge such(hat Forward will be able to accept the waste ` ❑SLUDGE the waster ©SLUDGE • REMARKS • REMARKS �• NON FRIABLE ❑NDN FRuBLE ❑ASBESTOS ASBESTOS FACILITY TICKET NUMBER FACILITY TICKET NUMBER ❑VJ000 ❑WOOD SIGNATUDATE SIG NAT F A AliLhff;� � ATE r RE OF ALRHOFiIZEo-/,16f 1 [3 ASH ❑ASH J-- 7� n(TrHER 7E _ i OTHER SCHEDULING MUST BE MADE PRIOR TO 4-00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SCHEDRULING MUST B£MADE PRIOR TO 4 00 P M THE DAY PRIOR TO E%PELTED 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 WITH THE LANDFILL THE DAYBEFORE � TO SCHEDULE CALL(209)982-4298 MANIFEST# 53087 TO SCHEDULE CALL(2091'982-4298 MANIFEST. 53088 GENERATOR COPT`- GENERATOR COPY