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m mI, Ii E• i• I• �� ■� ■■■� �■� ■rwrt w. I RW rr�{ n� • :� ;' 'NON-I IAZARDOUS WASM MANIFEST NON=HAZARDOUS WASTE MANIFI=ST- •�3 �nrr AND o1.s3oSAi.FAciLrrY �* 1 NCOO R P O RA T E D - T�EmmENT"DISPOSAL FACILITY I N C O R P O R A T E D JOB ACCEPTANCE NO. JOB A_CCEPTMCIE N0." , ' ©GLOVES []GOGGLES QRESP6iATOR ❑HARD HAT []GLOVES []GOGGLES RESPIRATOR E)HARD HAT pTYVEK-❑OTHER IN i []TY-VEK []OTHER' Piny q, SPECIAL4Wypt1N( PROCEDURES P - SPECIAL HANDLING PROCEDURES I,AT R P CA 5330 209-_957-598 J d R C SK� O i RECEIVWG yPE 7,...�.+� w � ° `• .. •• 'a REC IVNK�FAC�R Tl�<��[i�s�rr.-» '� " ❑ SLUDGE- ❑SLUDGE FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL • © TREATMENT SOIL �NON FRIABLE ASBESTOS DISPOSAL SOtL 0 WOOD 9999 SOUTH AUSTIN ROAD • ❑ DISPOSAL SOIL ❑WOOD 9999 SOUTH AUSTIN ROAD p CONSTRUCTION SOIL ❑ASH ❑ CONSTRUCTIONsm p ASH BOTHER MANTECA,CALIFORNIA 95336 Iq OTHER MANTECA,CALIFORNIA 95336 • GENFAAT,NGFACILRY _ _ (209)982-4298 PHONE GENEFl-kT GFACLLITY (209)982-4298 PHONE LAdGSTO?"S BAIT A TACCLE (209)982-1009 FAX LAftGSTON'S BAIT E TACKLE (209)982-1009 FAX 15615 SEV21IT'i ST 15515 SEVENTH ST LATHPOP, CA LATHROP CA NOTES- — w _R „ TRF�— ADD&JAH R NOTES _. _`,.TRUCK MIA�ER NAME ' i_ _ _ _. ,. --w - - r -2',NAME -r _ = -. — t - — --- - - - 4ICH HA1ILTOH TRUCKI"G - rQ. Tt Z !HAKILTOU TRUCCING - cj�a(� ADDRESS !33G PAULINE AVE. LOAD a {1� 1 3 &AUL11E AVE. _ LOAD 43 .CRY STATE ZIP g yL' 7-1 SCS- FIVF!5z3 ,nDEST3, CA 95?58 END DUMP DUMP TRANSFER IP D E S TO, CA 95358 END DUMP BOTTOM DUMP TRANSFER PHONE - ❑ ❑ • PHON ❑ 2On-578-4200 ❑ 2^9-578 n+OQ R�x ISI FLAT-BED VAN DRt1tA5 SIGNATUR AL THOREZED AGENT OR DRIVER DATE ❑ ❑ ❑ ❑ SIGNA Aumo AGENT OR DRIVER DATE ROLL 1S} FLAT-BED VAN DRUMS 1 G^ CUBIC YARDS—m.__ w FORWARD INC LANDFILL - `` - FORWARD INC LANDFILL Forward AW MM no oCbpatm to accept the wase If reamer Or odrer CAMPLETE Forward ahaw no oW,pation to accept Me waste If Weather Of otter cordro, am aper the$We W ahec4w Oo dmsat Of the wase Or 10"wase DISPOSAL METHODC {TO BE D BY FORV9tRDl&W corrdawms wrow IM safe W effectna daoosel Of the wads Or tl the waste DISPOSALMETHOD' (TO BE COMPLETF,D BY FORWARD) arparrs iM safe W dlectiw owratrxr d Ora Lardba Forward stun use .,F +,�.' �.. p _ _pTHI R gripers the safe and eBecha operatmo M ft Landlsl Forward shall use Bto AERATE OTHER reasanatrte sHdrts rd promptly notify Drspdser of ih rreCaaY b adapt the temnade eThru to promptly notify Opposer of as WWAty to SOCep the ` ... - —- Waite for any(seam tl fwrwud a retuaW to accept the wash a Ca7ad on ❑SOIL waits for any resort M Forward s ma."to ampt the Wats Is Cased oh wss"r or other ads CondtlQm,Forward shalt ratify the Asposer rersh orae weather or other ese corrawrm Forward sluff nollty tlne ouPoser when oft ❑fin- corrdrtatrs we expected to crrerrpe such tat Forward YM W ade W eOceq ❑SLUDGE conchl m an expected to Mange K0 put Forward. M ahia to accept the waste the wase ❑SLUDGE • REIAApKSw �'�y-� � -+ � ❑NON FR,4MA ASBESTOS ❑ ASSES= FACTLRY 71CRETNUMBER 'r ILITY FACrQCEtdlhABERy s. �*= - ❑ D _ ❑r170D SIGIJARiREl7F AUTFiOR2ED AGENT' 'r ❑ S1GNA71PORITEEa !' -` E7A --1> J6`T ASH ❑ASH /' 1 .QTHER 7� � `c..� I i�� ❑OTHER l SUBJECT TO O REFUSAL UPON ARRIVAL ONGOING DAIMADE PRIOR TO 4;00 PJA LY DELIVERIES MUST BE SE Dm PRIOR TO CHEDULED ARRIVAL WITH THE LANDFBl E DAY BEFORE ADS AR SCHEDULING A6U5F BE MADE PRIOR TO 4�0 P.M THE DAY PRIOR TD EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE AuuvrFEST• 54flI7 Q SUBJECT TO REFUSAL UPON ARRMAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL 1249!082-4208 TO SCHEDULE CALL 1209)982-420$ MANIFEST. 54003 COPY TRANSPORTER COPY