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1� �� ! � � � ■� � wnwn �� f�� lttitttttt� j'FORWARD NON-HAZARDOUS WASTE MANIFEST FORWARD NON-HAZARDOUS WASTE MANIFEST INCORPORATED WASTE TREATMENT AND DISPOSAL FAC LITY !N C O RfP O R A T E D WASTE TREATMENT AND OLSPOSAL FACWTY JOB ACCEPTANCE NO , _ JOB ACCEPTANCE NO JMES_M LANGSTON ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT # J� ff AH STOII ❑GLOVES ❑GOGGLES❑RESPIRATOR []HARD HAT 1kTAD _ [:]TY-VEK []OTHER ❑tY-VEK ❑ OTHER P O_BOX 97 P O BOX 97 SPECIAL HANDLING PROCEDURES. SPECWL HANDLING PROCEDURES • LATHROP CA 95330 LATHROP CA 95330 209-957-5081 29-957_-5981 JAN HENRICKSO') IAN HEHPIC'SO': AI /l1SLE'_-; DATE SIGNATURE OF _AC3QIta��ZT1LE�{ OATE " Y� • VWSTE TYPE - RECEIVING FACILITY ,M - - VO TE TYPE -w _ _ REf ENING FI�CRITY -- Q NON-FRIABLEASBESTOSASBESTOS FORWARD INC LANDFILL ❑ SLUDGE ❑ TREATMENT SOIL ❑ TREATMENT 5Dn ❑NON FRIABLE ASBEsros FORWARD INC LANDFILL • ❑DISPOSAL SOIL ❑WOOD • ❑DISPOSAL SOIL ❑ WOOD ❑CONSTRUCTION SOIL © ASH 9999 SOUTH AUSTIN ROAD ❑CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD ©OTHER aTr,,- a"l E MANTECA,CALIFORNIA 95336 _ [:]OTHER MANTECA,CALIFORNIA 95336 GENERATING FACILI Y (209)982-4298 PHONE GENEP"GFACum (209)982-4298 PHONE L' '.'S77 " , 31-- _�ACKLE a5s1� s_t�r fr4 sr (209)982-1009 FAX _AnG_Tar'r_ ��_c T,_ �_ (209)982 1- 982-1009 FAX 1-47$1:^a, CA L i-,'()P- C),I NAME NOTES. TRUCK NUMBER I NAME NOTES TRUCK NUMBER RICr.3 121-TJ,) T"UCKIHG � r = - tr �I� ? r^ r7 y�U C,/- �.. :JP � ��/ 1 _--,.j� �1,� iLTL.I T3 �I !3 -/��,j� (� �� u ADDRESS i AUUFit 133" °AU'-! 15 PVE LCA(' u 2i9 ' JLI„L A'rE 1-11 -1 _ '' .CRY SATE,ZIP f" _ CIT1li?E Ll , RI ir 'ES-3, :,, '15251 _ ,) - a� • PHONE END DP BOTTOM DUMP TRANSFER PHOrIE 3 C - 5 J END DUMP BOTTOM DUMP TRANSFER 2fi9-57—d 11 SIGNATURE OF AUTHORIZED($GENT OR DRIVER DATE ROUL-OFFS) FLAT-MD VAN DRUMS SIGNTATL(RE`OF'�AI iiIZFD,EENT OR OF i BATE ROLL-OFF(S) ❑F(S) FLAT-BED %AN DRUMS w. ❑ ❑ ❑ ❑ ❑ ❑ CUBIC YARDS �y CUBIC YARDS FORWARD INC LANDFILL 1 FORWARD INC LANDFILL Forward ehed nava no ppllpaim to accept the waste d Weather or other r Forward"I nave no oblgatron t0 accept the waste d weaver or other Con a.anp.the ufe and et4cwe deposal of Ne waste of If the waste DISPOSAL METHOD, (TO BE COMPLETED BY FORWARD) corxn*m WrW We sate and effect"deposal of the wasta or d IhO wrist DISPOSAL METHOD' (TO BE COMPLETED BY FORWARD) Olpaae the;ate and effect"operation of the Lardha Forward aha6 use BIO AERATE OTHER snpw.the aft and Nleddw aperatax,of the Lard Ll Forward ansa use DI1�� Sq AERATEOTHER maswW*etiorta to t>fmoly nofy Depowr of es aMW*to WOW the v—*blo 111-15 m pmmPtty notrty Deposer of as v*Wdy to accept the J=C-a waste for"Masan a Forward;nMal 10 accept the waste Is basedon waste lar any reason a Forward s mewl to acceol the waste a based on weather or olner sae cono.1"m Forward shall notdy the Deposer vAmn sale ❑�� weattbr Or othN ass carWtams Forward stoma rotdy the Deposer when 148 ❑SOL cordagns are expected to Charge aunt Ow Forward will M able la accept ❑ carddbra we ewW*d to Change wCh that Forward aria be able W accept lite waste SLUDGE the waste Q SLUDGE • REMARKS • r NON-FRIABLE REMARKS NOH FRIABLE ' ASBESTOS r ASBESTOS FACILITY TICKET NUMBER FACILITY TICKET NUMBER '6 ❑wow ©WOOD SIGNATURE 6__bTHORlZE AGEF DATE © SIGNATURE OF AUTFIORIZED AGEhIT,xi DATE - ❑ASH ASH OTHER * -��_ f-t OTHER SCHEDULING MUS I I-MADE`PRKW670 41004"M THE DAY PRIOR TO EXPECTED ARRNAL a ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 4VO P M THE DAY PRIOR TO EXPECTED ARRIVAL a 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 DAY BEFORE TO SCHEDULE CALL(209)8a2-4288 MANIFEST• 53099 TO SCHEDULE CALL.(209)882-4208 MANIFEST a 5 310 0 GENERATOR COPY GENERATOR COPY