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,' ,z�tx }x.r A _ "'�? NON'- AIp►RDOUSWA$TEMANIFEST ORUARD , F ° i_NON-HAZARDO WASTE MANIFEST R 1�RD'�� t WASTE TREATMENT AND CIMPOSAL FACLRY `,, t t►.0 O R P O R A T E D L r, ' i%%STE TAEA�NT AND DISPOSAL FACAUTY I N C O R P O R A T E D t x - ` JOB ACCEPTANCE NO r` JOB ACCEPTANCE N0. f. G L / - []GLOVES ❑GOGGLESQRESPffWOR ©BARDHAT []GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT r ❑TYAPEK ❑an{ER VIA 9 DTY-VEK ❑OTHER t _ P-n- Bay 37SPECIAL.HANDLING PROCEDURES ETYX 97 SPECIAL HANDLING PROCEDURES F Pyrvcznpp SIG7'Ji OF AUTNO - l -- *VMT -x [Y,, [t r, �t .»C RECERANCsFACILITY.iirY_�.at -t '", +"> - HfASrETYPE : °6� ��,;�7,_'- ❑SLUDGE p SLUDGE ❑ TREATMENT SOIL ❑NON-FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL • ❑LXSPos�sou ❑Wvnoo • p DISPOSAL SOIL ❑WOOD 9999 SOUTH AUSTIN ROAD LSOI CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ASH OTHER MANTECA,CALIFORNIA 95336 • �°h'ER MANTECA,CALIFORNIA 95336 • GENERATINGFAGILITY _ _ (209)982-4298 PHONE GENERATING {209)9$2-4298 PHONE L.1;ST0"'S 3AIT a TAC°iE (209)982-1009 FAX LAfIC,STON'S BAIT & TACKLE (209)982-1009 FAX 25615 SEu=1fT'f ST 15615 SEVENT4 ST LAT LAIAROP CA NAME � �_-:��'�. '-:..� "- r_s_.-� __ NOiE3..'c'�,�_�_.!?i_"",_.L w'. NUMBER NAME - _ _ _ NOTES.L"-_ =" __ _ _ TRUCKNUMBER r RICH HAMILTON MCKING ADDRESS HA'TILTOII TRUKCiIfC -t-l- -) ADDRESS : �7 C� 113u PA!ILINE AVE L,gAR 46 1335 °4ULIAE AuE LOAD 45 CITY STATE.ZIP ` L CITY STATE,ZIP 110PESTO, CA 95359 ) l NE 3 E S T D, C A 9;3 5 8 El Cl END DUMP BOTTOM DUMP TRANSFER PHOEND DUMP BOTTOM DUMP TRANSFER 2r 9-573-4300 �( 299-578-t10C Ek 11 11SIGNATURFYOFAUTHO�IZEDAGENTORDRIVER DATE RDLLOFFLsI FLAT BED VAN DRUMS SIGNATURE OF AUTHORIZED/AGENT ORpP#ER DATE ROLL-OFFS) FLAT-BED VAN DRUMS �1 yj e � `r, r �� J U� � ❑ ❑ ❑ ❑ TIC f GC.t� �� {�" - I� ❑ ❑ ❑ CUBlCYARDS FORWARD INC LANDFILL C1rB�YAR�s FORWARD INC LANDFILL - - - Forwart7 stet txaw no oblxpation to accept the waste d weather d dher ForwaA Bryn gave no abppalxat b accent the waste d waattxer or doer eonddions dnpar the sale and aeacbve datpoeal of the wase or d the waste DISPOSAL METHOD: (TO BE COMPLETED BY FORV ARDI condlum m it the sale and ormact"deposal xN the wage or d the waste DI METHOD LTO BE COMPLETED BY FORNNRDI rrpaxa tr a sale and etfedna operation d the LardFdl Forward stet use M � OT/iER drpsva me sate arM eNechwe op•ratw of ttn L&W&Forward Mat use r BIO AERATE OTHER reasonable etlorts to prep)eddy t7espo&m d its rabity to attest ore _ __ - - _ - reasdn&64 afbrls to pronxplb�y Disposer d 4h xrxebtity t,aced the _ ..a.,;,_..,,., waste for ery reason.t Forward a reluaat q accept the waste a brad an waste far&V reason I Forward s rohmal to accept the waste is basad an r- — weather or other ado condmons Forward chap notdy the Daooser when see ❑502 weather or Wrr see cdr&a%L Forward Ates eddy the DwsPOser when srte coratnns are expected to change m+ch that Forward wit be able to&cant eoncim"we expected to charge arch dtat Forward wap M able to accept the waste ❑SLUDGE _ SLUDGE ' - a';-rr ?- t x��F°`r`T'►'.�^."s� the waste ❑ REMARKS_=_ ,.. NON FRUBLE � a REMARKS�..�..�.P� �M..-,....�.t� .�.fx NON•FRUI6LE ! y,L -.., - ❑ASBESTOS ASBESTOS FACILSPY ltkLZIVLIMBERz�� ' Y_�.c [I WOOD FACILRY THCICET MJMBFJT:�--,,,,,_, ,� - ❑WVOOD SIGNATLRE'OF AUTHOWZEO AGEhfT�'�'-r WYE_ SLGNAjUfT AUTHO - -�/ >. �,,, T DA3�+r,yy': © �? _ C ❑ASH ) 0 OTHER C Cl OTHER SCHEDULING MUST BE MADE PRIOR TO 400 PJd THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SCHEDULWG-NVFLjW4MDE PRIOR W 4 WP M_THE DAY PRIOR TO EXPECTED ARRIVAL•ANY 61dSCHEDULED 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)982-4298 MANIFEST. 54006 TO SCHEDULE CALL(209)982-4298 MANIFEST. 54005 TRANSpI'1a7tra COW