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mobm m m I --- Im — - - AORWARD NON-HAZARDOUS WASTE MANIFEST ' ORWARD NON-HAZARDOUS WASTE MANIFEST AI N C O R P O R A T E D V" E TREATMENT AND DISPOSAL FACIL[TY INCORPORATED V'TE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. JOB ACCEPTANCE NO. _ w � ❑GLOMES ❑GOGGLES❑RESPIRATOR []HARD HAT I JAMES M LA N G S T 0 N ❑❑GLVEK []GOGGLES LES[]RESPIRATOR ❑HARD HAT ❑TY-VEK ❑OTHER P OCS BO��.S�47 SPECIALHANDPROCEDURES SPECIAL HANDLING PROCEDURES oy�_r�"L � aTti�* � � �`�� '� i Y • LAT_HROP CA 95330 J..ATtiEi�P ,ABX� 33fJW_n, ,— � ,yam P_HOt�E_ zF"`' ?I�ONE..�._-.. .u_ 209-957-59B1 209-957-59pySON COHP1c.�f ry cif EF ..- JAN HEHRIC{SOI' JAI] EVIFICKSOr! _ - SIGNATURE"OFAUTHORtllCDAGEF Y ?iDATE_ ;1 of AtJiRiy�kTlZf DAGErrr/rr E ""' wTE� '' * h ' R 61 • Ih kM TYPE / RECEIVING FACd7TY,,.:..._ _ IhdAS1E TYPE _ �_ ___ REGEMNCi FACilTY _ p SLUDGE TREATMENT salt p NON SLUDGE EtA9L£ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL © gggg SOUTH AUSTIN ROAD • ❑ DISPOSAL SOIL ❑w00D • ❑DISPOSAL SOIL ❑ + 9999 SOUTH AUSTIN ROAD p CONSTRUCTION SOIL ❑ ASH ❑CONSTRUCTION SOIL ❑ ASH ©OTHER STr� '_'-` MANTECA,CALIFORNIA 95336 ❑,OTHER TnC(2TLE MANTECA,CALIFORNIA 95336 - • GENERATINGFACRITY (209)982-4298 PHONE GENE_' 1.-5 FACT'E (209}982-4298 PHONE L11i9SOT-'S SA=T ' TACKLE ' = I15'S 'S 3l T xC,_= (209)982-1009 FAX 15515 SEVE"T4 ST (2Q9}982- 009 FAX =`�� Sr z 'TI+ ^T LATgROP, CA POR NAME NOTES TRUCK NUMBER NAME NOTES, TRUCK NUMBER DICE -IAN;!TO AI]DRESS ~" ADDRESS L7At7 ?51r '-=-5 O-LILT It I L^A^ 4 251 PAUL! IE AVE .CirY STATE 21P CITY STATE ZIP ' t^7-5 T 41, ,I '1535A PHONE END DUMP BOTTOM DUMP TRANSFER END DUMP BOTTOM DUMP TRANSFER ❑ ❑ ❑ PFiONE4-57 R-C-}n / ;❑' ❑ ❑ -7�-c:;^ SIGNATURE OF AUTHOfRIZED,�GENTpR-DRkSIR - TI ROLL-OFF(S) FLAT BED VAN DRUMS SIGNATURE OF AUTHQRIZED AGENT OR DRIVER DATE ROLL-0FFIS) FUIT-BED VAN DRUMS y ❑ ❑ 11 ❑ ❑ ❑ ❑ ❑ ` CUBIC YARDS FORWARD INC LANDFILL CUBICYAFms I I FORWARD INC LANDFILL ' Forward SW tie np obbpahon to Nxtol the waste d weather a other Forward ro the haw a d efts Ir m eCCept the wasted weather a doer I oondaeerts VMW the aawe and stfadiw deposal d the waste d d the waste conWteona wegav the wflacma and eropersh anooeai of me waste w d t�waste DISPOSAL METHOD' (TO BE COMPLETED$Y FOFtAMARD) vV&"the Sala srd 0401me eperabon d the LanW&Forward shall use DISPOSAL METHOD (TO BE COMPLETED BY FOOTH RDt re-moria e-m ra the sale and rorroly uty D n o the Lardtat forwaro Sewall use DSPOSEJ gw0 JAEPATE SWC+ds.E OTHER nnanate Hawn m aorrrgN nohtY oaCeser of as enebehty td accept the BIO /IRATE Ismwu OTHER wash,to, el res to if Fmpy natty uul to r d ate tna waste m accept the waste lor wtly reaepn tl forward s reAeal b wrccept the waste n based m waste fro am reason tl Forward s rwam h t noep the waste w based an reatt�er or other SM cpnddiores.Forward shall r+otiH tM Dwooser wteen este ❑SOIL weatteer s Omer sae corto charris forward stall noway dee Deposer when site SOIL candae0rw are eafleClatl m Chartpe such mat Froward roes Oe shwa m eccepl C e%iastw are expected 10 dsan9e sura rtes[Forward rntl be dEYe m xcept the waste ❑SLUDGE the waste ❑SLUDGE • REMARKS ` REMARKSNON ' ' NON FRIABLE ❑ASBESTOS E ❑ASBESTOS FACILITY TICKET NUMBER FACILITY TICKET NUMBER ❑WOOD } ❑WOOD DATE SIGNATURE OF AUTH��/_` DATE ©ASH a i.1 SGj�4 �+ 'c rtiQ9THFA SCHEDULING-VUST BE MADE'RRIOR TO 4.00 P.M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE 6CHEDULINp MUST BE MADE PRIOR TO 40D PM THE DAY PRIOR TO EXPEt:TED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT Tc1REFUSAL UPON ARRROIL ONOOtNG 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 SU SCHEDULE CALL)299) A 4298 C (I A TO SCHEDULE CALL 9209)962-4290 MANIFEST• 5 3 0 9 sF MANIFEST 0 J GENERATOR COPY GENERATOR COPY —