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FORS - _ _ N-� MANIFEST FORWARD _3`4� oN-HAza,RoolJs WASTE�� t„ x.; •r 'Y. y fir~ p. 4Y a !1R r- - WASTE ANb DISPOSAL FACtttTY WASTE TREATMENT AM DISPOSAL FACILITY ' INCORPORATED � INCORPdRATED JOB ACCEPTANCE N0. v - rJOS ACCEPTANCE N0. 1 []GLOVES ©GOGGLES©RESPIRATOR ❑HARD HAT JAMES M LANGSTON []GLOVES DGOGGLESQRESPIRAMR ©HARD HAT JA ES ANrqTnNTY VEK ❑OTHER - ❑TY VEK [❑OTHER _ SPEOLAL HANDLING PROCEDURES y P 0 BOX 97 SPECIAL HANDLING PROCEDURES LATHROP CA 95330 209-957-5981 _JAM HENRICKSON OF � c- ' z C "`s" L a' ; 'r.t.t__ » _ TYPE y.: •a• `•r= �` REGENING FAGel[lt _J .,..�_ _ VO SIE TYPE+_ --� x t i c+�°7 7i a .. _ a a p SLUDGEFORWARD INC LANDFILL ❑TREArmFm SOIL ❑ SLUDGE FORWARD INC LANDFILL ©TREATMENT SOIL ❑NON-FRIABLE ASBESTOS p NON FRIABLE ASBESTOS • p DISPOSAL SOIL ©WOOD 9999 SOUTH AUSTIN ROAD. • ❑ DISPOSAL SOIL ❑ WOOD 9999'SOUTH AUSTIN ROAD Cl CONsTRLcnc N SOIL D ASH ❑ CONSTRUCTION SOIL ❑ ASH OTHER MANTECA,CALIFORNIA 95336 �OTHEA MANTECA CALIFORNIA 95336 GENERATINGFACIL{rY _ (209)982-4298 PHONE + GENEAATwcFAcuJTY - _ _ '(209)'982-4298 LA,IGSTON'S BAIT & TAC:LcLAIGSTOII'S BAIT A TACYL5 209 982-1009 FAX 15615 SEVEATH ST (209}982-1009 FAX 10515 SEVENTH ST LATHRO?r CA LATHROP, CA NAME _ _ NO O--,c�.<1' ---s r TRUCK NUMBER NAME - '._'" = -- - - - _ NOTES �" °_ TRUCK NUMBER Aq ��H HAMILTQH IAUCYING ~ - - +�lt�Q�j �'` ' j� gppREC4 HAMILTON TRUCKINGADD �� 3C7 1335 PAULIVE AVE. LOAD 07 CITY 1335 AVE LDAO #8 • CITY TO, CA 95358 (1'-lS5�7 C Ir r10DESTO, CA 35359 ENDDUMP �BOTTOMDUMP TRANSFER END DUMP BOTTOM DUMP TRANSFER PHONE ❑ ❑ 209-578-4100 a( ❑ 0 209-579-4100 SIGNATURFyOF AUTHORI2 AGENT'qA�R DATE ROIL OFFi51 FLAT-BED - VAN DRUMSStGNATU OF AU�HOR1ZED AGENT OR DRIVER DATE R❑ {5} FLAT D D DRUMS ❑ CL&QARDS— �-� -" - FORWARD INC LANDFILL CUBIC YARDS FORWARD INC LANDFILL Forward daft have no odgabm ID te=a Re waste d weather or other .-9 Forward sW taw no odpaten to attest tre waste d wothn or W*r co dderta MW the tete and ehsatew daaosal d 0%v wase or d tra waste DISPOSAL SOD.r{T0 BE COMPLETED BY FORWARD) wnpa tnrs+Ua'r the a a ono egmtst n cl O l 01 Ve wawa or d an waste DISPOSAL METHOD (TO BE COMPIFT�D 61(FORYr1tRD1 Mrgarn pe aeN and attactne eparatwn o,Ne Lantlfi0.Forward stare the DTFtER amass tre soh utd atleeb"opwabm of the LsrdRN Forward oboe use BIO D1H A reasonable snorts to WuT%pth no*Damser d as awhrldy to accept as _ jo AERATE nasaade effiorts to tYormth !'Daposer d ds aaDiWy to accept da -' - wage for any reason a Forwards rehnal to smeW ere waste n basad on waste Iv awry Moon p Farwues rahaal o accept the waste s Dared on weso.or dher sAe mW wns,Forward shag rotate the D-N—f+hen We ❑SOIL weather a Wer alts torddrarts,Forward alias notate tfe Disposer when sae ❑SOIL tonddrors ate expected to longe sues Ural Forward w,u ee Ade Io Wcepl mn&tou an aspected to danpe mcn dot Forward wet be able to octad -r I the woofs ❑SLUDGE ' the waste ❑SLUDGE 'r'p't•� --.-t- v�•�• REMARYCS'rrM~e1R � •7 z-s-:r REMARKS ❑NDN FRNSLE ❑�FRIAJ3LE NITMBE +. ".c ��.ar��a tL ASBESi06 �r-_�«�- nsa�+r�s*r�• - I Fi41CIlJTYT-,_ICFZE.T FACUT 11CKEENUiwtBEA .-.-- -=+_ ., d __-^_F_ WOOD _ ❑WOOD - - -- SIGNA�J �ICfFAUTHDRQEDAGEt�T� DATE..r-?-�' SIGPwTIM_ AUTFIORI�EU tz ' tD -•'©ASH �� F �I ©ASH R 5CHEDULIN(I USLBE filArfE PRIOR TO 400 PA 771E DAY PRIOR TO EXPECTED ARRIVAL+ANY ZAi5CHEpULED LOADS ARE SGHEDULINC�1taUS7-0E71ADE PRdORkW'00 PA THE DAY PRIOR TO EXPECTED ARRIVAL+ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE I.AANNDFILL THE DAY BEFORE SUBJECT TO REFUSAL UPON ARRIy is G0[NO DAILY DELLVER,ES MUST BE SCHEDULED WrfH THE LANDFILL THE DAY BEFORE To SCHEDULE CALL(209)982-4290 MANIFEST i 54007 TO SCHEDULE 2D9�962-420 EST F. 44006 tnawa•narco rflpV I �� "' — �—