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oR��ja�n { '; NON-HAZARI70 S�MMIFEST ►T 1 11W',.R-, WV45TE TREATMENT AND DISPOSAL FACLITY J INCORPORATED oB J08 ACCEPTANCE NO. ©HARD HAT Af TnM ❑GLdJES ❑GOGGLES❑RESPIRATOR ❑HARD HAT mm - pTYVEK ❑OTHER "JOwlSEE GPROCtDUR� r SPECIAL HANDLING PROCEDURES 2U!9=957-5981f- �� s' ,'� -7 " .IAN HENRICKSON SIG J$t3 SK * - !v- VYaSTE TYPE=.:n1a��asv a ss x L rvr RECEMJ( FACRILY��' , Y.x'- --sc�7 r. , ❑SLUDGE FORWARD INC LANDFILL ❑ SLUDGE ❑TREATMENT SOIL ❑NON FRIABLE ASBESTOS © TREATMENT SOIL Q NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑DISPOSAL SOL ❑Wom 9999 SOUTH AUSTIN ROAD ASH • ❑DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ©C°"STR"G70N SOL OTH ❑coNSTRUI:TIDNSO& ❑ ASH OTHER MANTECA,CALIFORNIA 95336 AOR MANTECA,CALIFORNIA 95336 (209)982.-4298 PHONE GENERATING FACILITY _ (209)982•-4298 PHONE LANGSTON'S BAIT 8 TACKLE (209)982-1009 FAX LA'IGSTO"'S BAIT & TACKLE (209)982-1009 FAX 15615 SEVENTH ST 15515 SEVENTH ST LTHROP CA LATHROP, CA 11ME)EF ' NAME ,__ .'-,:& - - -.L _NQEESJ ='�.`F�Si l�`�r_ TALK K NUMSFA R T qe sr rq 290 "ICH NA`fILEON TRUCKl.'G 'r �jC7-1SGQ 9 �U LOAD 014 ADDR SS r 1336 PAULI`IE AVE. LOAD 013 � � - .CITY STATE IJPfevy La D0ESi0� 'CA.,9535BR �., IYS�z /YF L "`°b � =ENnOIiMP ,!!-:_!9oT`raM DUIwIa TRANSFER _ TDESTO, CA 95358 PH ,;a i r.'x.: _ '--�--_` ❑ PHONE END DUMP BOTTOM DUMP TRANSFER _ C�_ ❑ ❑ gGNpHi57B-41Ot 011AGENTORLI ivur,r,i7AT'21-' T ROLL OF�S� LAT=BEO�r• r ORUMS_'� 279-579-4100 SIG E OF AUTHORIZED AGENT OR'AM/E� DATE ROLL--OOFF{S1_ FLAT-BED_ VAN DRUMS � - - ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ �k , �, CUBICYARes- K4 - FORWARD INC LANDFILL FORWARD INC LANDFILL Forward have no oUgd n 10 accad Na waste N wislher Of ahir Forward sn+a here ro coipahon to acted 11x waste i weaNtK a other cargrtstns mpw nae sale inn etlectne do osal d the waste a i 1114wade D6 M TO E3E=C�MPI;ETEB 8Y FOf�iNW��RD1 eoncMens rn W no Bale DIM efletN.e disposal of the waste or i 1M wade BE COMPLETED BY FORVG4RD1 nVan the sok eMaa"e ogarat on d the L43 K Fo ward Thai use Afypg cT,w_L. 'i DISPOSAL METHOD- (TO nasonada allarts 10 promdly r>oAfY DdPoser of As ariWdy to axapl Me anpari nr sob and ofed a oparawn d uta LaMFd Forward sW use .r,. -' -Omi p waaM for my reason.0 Forward a mfusel to aoced Na walls n based on []SOL esasorude ellorts b prontptH SIN OrsPoau u as lnibiCY to acted _ BIO AERlRE r_ wyalhsr d eurx sae cand$�ora.Fonvird shit mMy Ni Omooasr when Ms waste Por DIM rosea u Forwaed's rahaal to&=pt urs wait a� ❑�� -- • tbndarnrx we mpeded to omyW ouch Nat Forwad MU to sEle to awspt 1 weather or ouw$ea corldarons.Farwwd"rlotl}y nM Deposer the waste ©SLUDGE tontlaions arsermea+d to dwkga such Nat Forward vest be able to acted ❑ • . tfie wuee �-m;..,qp•i• -^• ,•-- -•�2 -UDGE ❑ASBESTOS AOS LE REMARKS_ "� _''_s n» .. _s�.^�T— AWE$= WOOD FA~IJTRYT ❑WOOD 51G SEGNATUF A[JTHOAIZED A6EC DATE-;,:-YZK A511 o` ❑ASH * 1 b` bpHER f _ OTHER SCHEDULING'AIUV;-�AOE PRIOR TO 4 P.hA THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE SE SCHEDULING TD REFUSAL U ON ARRIVAL ONGOING THE DE Y RIOIES MUST BE SCED ARRIVAL RI WIa,ANY TH THE LANDFILL UNSCHEDULED THE:DAY FORE S ARE TO�SCHH>�uIF CALL 982�2oA ONGOING DAILY DELIVERIES 111157 BE SCHEDULED WITH T�� 54014 THE DAY RE TO SCHEDULE CALL(2071992-4290 MANIFEST s 54013 TsuslsPotrrFacz+cv �TRAtlSPORT�ICOF"/------- -_---_-