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FEST - NiOTN_-uf�TYr6�DOViU—S�VR A!LN'.�I.F`E.,S� T-- 4MWA „, TREATMENT AND USPSALFACLYR A�" PDS INCORPORATED wAsTE TREATMETfmPDSAL FACWTY JNCORPORATED ^, rsJOB ACCEPTANCE NO. A- JOB ACCEPTANCE NO. ` • ❑GLOVES ❑ LES REsPIRAIOR ❑HARD HAT ❑GLOVES ❑GOGGLES❑RESP87ATOR ❑HARD HAT ! ❑TY-VW ©OTHER pTY--VEK ❑OTHER it_ _ SPECIPL HANDLING PROCEDURES 117— SPECIAL HANDLING PROCEDURES qqn - __JAR_H lAT X30 StGNAiuRE 114 di? RECElVMIG FA_ WPSTE TYPE . s :. '� Ss` 1,hx RECEB!iNl3 FACILM SLUDGE ❑ SLUDGE FORWARD INC LANDFILL FORWARD INC LANDFILL p TREATMENT SOL ❑NON FRIABLE ASBESTOS ❑ TREATMENT SOIL NON-FRIABLE ASBESTOS ❑DISPOSAL SOIL. ©WOOD 9999 SOUTH AUSTIN ROAD • p DISPOSAL SOIL ❑ 1M7OD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL [3 ASH p CONSTRUCTION SOIL p ASH BOTHER MANTECA,CALIFORNIA 95336 (a OTHER MANTECA,CALIFORNIA 95336 (209)982-4298 PHONE :iN L4,l6 GENERATINGFACUrY (209)982-4298 PHONE GEN ,11GFA,CILITY _ _ LACTOP”S 9r13T i TACKL� (209)982-1009 FAX LAPGSTOIPS BAIT & TACKLE (209)982-1009 FAX 14=1S SEVENTH ST 15615 SEVFtITrl ST LATHROP, CA LATHROP, CA L�7? NUMBER TRUCK NUMBER NAME `= LZa' r-:7_ iJOTE^a NAME _ _ _ _ -_s _ - NOTES. ti_i. +�_ _ �'/It f GJ C !`C-T RIc 4 PAMILT011 TRUCKIIIG (//4�3��j F L RIC�i NANIUTDIi TAUCdI;'G t 1` ! CZ/4-C-7 7 v'i S_ " -�--� ADDRESS ADDRESS ` -' x'19 133: RaLILrtIE q,F LOAD -20 +'36 PAULI�'E AVE LOAD i .CITY STATE.ZIP �� of"SZ y 3 � CITY STATE,ZIP 'L - f ,� 403EST0, CA 95358 i7 D E S T D, -CA 95358 - PHONE 13 END BOTTT7M DUMP TRANSFER PHONE END DUMP BOTTOM DUMP TRANSFER _ 27P-578-r1C0 DRUMS 200-578-41'30 ❑ ❑ SIGMA AUTT4DRI RAGENTORDRNER DATE ROIJO W(S) FLAT© ❑ ❑ SIGNATURE PF AUTHORIZED AGENT OR R DATE ROLL-Off(S) FLATLD 'A �MS 13 * ` { -!c'.IZQ FORWARD INC LANDFILL CUBIC YARDS _;,,_ FORWARD INC LANDFILL ' Forward shall rove rSP pblrpatbn b eccepl P+e waste d weather a other Forward amp haw no obapetror to accept the waste d we"or other oandrbwm m w the safe and eHecuve doPoaal d the waste or d the waste DISPOSAL MET , (TO BE COMPLETED BY FORVfARDI condda m tmpev the safe and eflachw dMOW d the waste a d the waste DISPOSAL ETHOD- (To BE COMPLETED BY FORWARD) ,mpays tK Bala and eH&uNe opuanon d ur tJrdla Forward Shea ma SEW BIO AERATE _ OTHER artpaaa ttn Gale and etlactm operewo d UM LJr n For.W&hae use 7&,mraW aftu to p mptty nouty Disposer of As n&W4 to&coot the _ -'`A. - , maaonahie etbn to prornotb to*OmPossr d its rubmIy In acaePl Tle _^^-^t *1 --- �.. AERATE _ _ OTTS€R ge for atilt rcaw p Forward a rehmtl to etcePt the wash w bred on SaL waste 1p ar7 reason d Forward a refusal b&cca01 ate waste q based on weather er other sde omdd*m Forward strap rtotdy the Disposer wren yk ❑ weaVw or other sae canddw*Forward Shea nobly ate DMPasar.din Bate SLUDGE corSylgns are expected b d+artpe such that Forward mgbeable to eccep SLUDGE condruorn are axvacted to char"auch that Fanvnd wait be ark to accept i Phe waste ❑ the waste rte----y�-x ❑SLUDGE I REMARKS�`r�. x.L.-�-.4.,+ar '..++w — NON FWttBLE w REMIAAICS .,,.'.. „� .F. .....x�:-..,ss.�-» i NON-FRIABLE ,�,,,,�, ❑ASBESTOS ❑ASBESTOS i FACILITY TICKET NUNgIf��='=."�. ^��.,Tj.: iA.vL FACBJTY - �^�^'Cr"'"'r-y.•rr -«rte--+u •ro ❑yNDOD -- v =�.�, ._�. ❑WOOD SIGPAi ROF AUTHORIZQ3 DATE ASH SIGMA F AUTHORIZED-AGENTD�?srsI f ❑ASH ❑OTHER [BOTHER SCHEDULING MUST`>6i1AD -PRIOR TO 4,00 P.M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE I SUBJECT TO REECHEDUUNG.MF SAL UPON ARRIVAL ONGR TO OING G DAIL DELIVERIES MUST BE SCHEDULED WITH THE ULr IleANDFILLNSCHIDTF4E DAYOBEFORE SUBJECT Td REFUSAL.UPON ARRIVAL,ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(299)982-4298 MANIFEST* 54020 TO SCHEDULE CALL(209)982-4298 MANIFEST, 54019 � y TRANSPORTER COPY TA\YQOr1RTFf1[7f1PY