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�� w �� wig ww �� w■■ � � � � � � � �� ,�_ _ .._. •,Ln-..i;�C,�'22s, - �-f R��/��/J '/�'.�nrn3�i` ,�F`^-L" q. `_u'cl ��:+ , -• y�`r �.r .� `.Y ,yc� 1 Oit T y�lW_ f c _ n3F .3 �yy "j _ j z cr'*wi L. r '.f NOIV'W&RDOUS WASTE MA mFEsr -FORWA D - Nor+ Does w14srE M�wlF�sr !N C O R P O R A T 1 D' VIIAST E TFIEATMENrMD DISPOSAL FACLLrry I N C O R P IDR A T E p - ATE TREJITMEI lT AtiID OISFK)SAL FACT fTY JOB ACCEPTANCE NO. _ JOB ACCEPTANCE NO. []GLOVES ❑GOGGLES❑RESPIRATOR []HARDHAT ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HAADHAT QTYVEK OTHER pTYVEK ❑OTHER _ f SPECIAL HANDLING PROCEDURES SPECIAL HANDLING PROCEDURES /! 09 f • Vi�.S7ETYPJ-' :��#�,�_'=.anis. lr'a. �� a� ha4 _kz�_ ; t«r' Yk45TE7YPF`_ 2`�l'w:+.affEY� .f. r�,: RECE7VNKiFAOLrt3Yshs3ti ism :'dv .� SLUDGE DGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL [] TREATMENT SOIL p NNOON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ DISPOSAL SOIL ❑WOOD • © DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL p ASH 9999 SOUTH AUSTIN ROAD p CONSTRUCTION SOI. p ASH (*OTHER MANTECA,CALIFORNIA 95336 OLPTHER MANTECA,CALIFORNIA 95336 GENERATW4,F801LIY _ GENERATING FACILITY _ „�_ A_ _ 209 982-4298 PHONE (209)982-4298 PHONE � ) LA'IGSTnFI'S BAIT € TACKLE µ LA tGSTIPOS BAIT 3 TACKLE 209 982-1009 FAX 15515 SEVEOTH ST (209)982-1009 FAX 15515 S'cVCNT11 ST LAT3ROP, CA LATHROP, CA NAME _ '_ NOTES _metas w �_-_ TRUCICNUM IER NAME _ _. �:�'.:-. —_,.....1`aJ .e 1TNlICICNUMBER ADDRESS HPNILTO'I TRUCKING _ _ Y 9/��r73 C/�-- ADDRESS HA. +ILT4I' TR11CxIrrG a �Y 9C 3(5ai �66 1336 PAULINE AVE _ LOAD 427 1335 PAULIRE AVE `-_ _ LOAD 429 .CITY STATE,ZIPCITY STATE,ZIP _ -- U 10DESTO, CA 9535P � c-/} .IDOESTO, CA 95358 t ��$u PHONE END DUMP BOTTOM DUMP TRANSFER PHONE END DUMP _ _ BOTTOM DUMP TRANSFER 2`110-578-4100 a ❑ p 239-57,j-e1O0 QA © ❑ SIGNA RE OF ORIZED ETNT OR DRIVER DATE ROLL-OFF(S) _�T BED VAN _- DRUMS SIGNATURE OF AUTHO D AGENT R DATEf ROLL-OFF(S)_ _ FLAT BED_ VAN DRUMS - - © ❑ ❑ ❑ it 95 FORWARD INC LANDFILL (:LJelCyAaos,W_. �f -`�� --- FORWARD INC LANDFILL Fmrard shell hese no obligation to accept the waste d weather or other 7 t Few"Mall hamA no ot>ftp tmon to accept the wash E weather or[]her is rxx cmGtons m ww the sae and effecter dispose p of the waste W a the west+ conditions impair the safe and 0scihe dapopl d the waste of I try waste DISPOSAL METHOD`,,{TO BE COMPLETED BY FORMRDI DISPOSAL METHS {TO BE COMPLJ TED BY FOROMD) man the rata end eneft"open:mon of the LaMfia Forward snap use r aeon rte tate to EffeCfM operation notify Disposer of the Lta fULina Forward Ball use i_ :r �� reasonable-efforts to Promptly rally Disposer of ds habpiffy to accept the OTHFR neeaype+Norte to pramipdy notrfy Dmspaaer of da.abday p accept the .....�_ .-._. _ — — waste for any reason a Forward a nasal to mocopt the waste a based m � D R I waste far eery nasi d Forwards refusal W acoeW 1ty waste a based on weather or other elm cordbons.Forward Med notify the Disposer when site ❑WL conditweather a arm a arta cardrtt all Forward ehau nwar*ty the it be ale to so ads ❑SOIL corddpns an aspected to dwmpe emnh that Forward wW be able to accept Ih mw waste an emmpadad fd cl+age atmdm Nat Forward wpl W abler to eccapt the wuta the was ❑SLUDGE h p SLUDGE • .p a�.P r,.meq r,. �aI` �_._ �r_._ s L t NON*TPME FACILITY TIGKETNUMBER'-`�' -rr-s� .c❑�� FACILITY T ET NUMBE }� era rc F ❑A56E5T05 ❑ ©WOOD 1VOOD ' -- t SIGNAL auTrio AGENT --_ �DATA";�= ❑ASH �OF�'�p� � p ASH SCHEDUUNISWUST BE MADE PRIG TO 10e PAA THE DAY PRIOR TO EXPECTED ARRIVAL-*ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR 74.4100 PM THE DAY PRIOR TO EXPECTED ARRIVAL+ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL DMOING DAILY DELIVERIES MUST BE SCHEDULED wfTH THE LANDFILL THE DAY BEFORE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES)AUST BE SCHEDULED VATH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)082-4298 MANIFEST i 54027 TO SCHEDULE CALL(209)982-4290 MANIFEST- 54028