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' PFQRARD_R `"'� NON-HAZARDOUS WASE MANIFEST yWASE TREATMENAND DISPOSAL FAC UTY �Yit ,- _ WASTE TREATMENT AND DISPOSAL FACILITY � - INCORPORATED` , t JOB ACCEPTANCE NO.-+ Y JOB ACCEPTANCE NO - c►+y— aaaz Now ❑GIAVES []GOGGLES❑RESPIRATOR QiWR0HA7 r�' _ _r' W _._ __ R_OME0r%RSOytIA�PAOfECiNEEOtAPAEENT []TY-WK []OTHER 1 r''=-�. j 7�.,t.s..raR », []GLOVES []GOGGLES[]RESPIRATOR prwRD HAT 1 M 4lL4lLHG AODRE $r.:__ .r_ ❑TYVEK ©OTHER 130 91. SPECIAL HANDLWGPROCEDURES �5�77� ��'_ ~«_ --n L'� r SPECIAL HANDLING PROCEDURES A 9533f) � Ca'TY SIG`'NAARTrKsnq 'd c ��AGENT TITLE DATE 7yp ' °! '3a� `•'sjRE V4145TETYPE RECENWGFACIL" ❑SLUDGE ❑ SLUDGE ❑ TREATMENT SOI p NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL p DISPOSAL SO N solL p ASHD 9999 SOUTH AUSTIN ROAD ❑DISPOSAL SOL ❑ MOOD 9999 SOUTH AUSTIN ROAD COSOTHER MANTECA,CALIFORNIA 95336 ❑ coNSTRucTlav sOL ❑OTHASHER �, MANTECA,CALIFORNIA 95336 GENERATWG FACILITY _ _ (209)982-4298 PHONE a GENERATING FACILITY (209)982-4298 PHONE LA IGSTar1's BAIT 8 TACKLE (209)982-1009 FAX ., -L711 .r' `, IT '- (209)982-1009 FAX 15515 SEV-s'ITH ST : :Z:vz r LATHArIP PA L Tar DO, CF R NAM£ _ _NOTES t ra �•av+^�__M ,. TRUCK NUMBER - NOTES. TRUCK NUMBER RESS 11Ar4IrlarlNAME ADD 'TRUCKitIG _ - �C3I 3�? 960 ADDRESS 133h RPUtd 1E AVE LOAD X33f TFF ntn, = io.1'� � I-'I. CaE;23Pr STATE, Y C 5L/6 C .CITY MTE,ZIP i 140DESTa, CA 95359 ^^-- " = :. , �-1 r�h-r PHONE END DUMP BOTTOM DUMP TRANSFER PHONE P BOTTOM DUMP TRANSFER SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) RAT-BED VAN _ DRUMS SIGNATURE OF AUTHORIZ.FO AGENT OF DRIVER DATE ROLL-OFRSI FLAT BED VAN DRUMS ID c) 11 13 11 1:1 CUBLG YARDS FORWARD INC LANDFILL ''` "`= - - - "" FORWARD INC LANDFILL CUBIC YAWS Forward ahaa Mw np Oblgatm In a=cepf the waste d metwr of other Forward shall few no oblgeuon to accept the waste a wealhar or other r' conditioes myyar ttr safe and effec"deposal of IN waste a d en waste DISPOSAL M OD , QO BE COMPLETED BY FORWARD) conotioa wroar the sale ano afleclwe dapoW d the waste or d the wash DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) aroaas the safe and each"opantKm of pre L&WA Forward shall tae ,�- - ae AERATE yp71-ER n=n the safe and uhacbw operation at the t.andha Forward shall tae ISP= 870 JAERATE S=KE OTHER reaswonts etbrta to proma?y nobly Dowser of es nabbity to aot`ept do _..�_ 1 - 1_... reasoneok Mons to promptly notdy Deposer of es n0tirly fo accept the waste for any reason.a Forward a nahaaf lo socW the waste is basad on waste fa any reason d Forwards refusal to wept the waste is based an ©SOIL weather or other ase cortdarorw Forwsro shell rw*On Drspoaar when site weather a other Ode cwrtdllrona Forward sled nptdy the Deposer when are oortddrons are expedted to change such otat FOrwafd wd ba able to acceptc"ll a are expected to cferge such that Forward w it W at*to accept the waste Q-SLUDGE r the waste [)SLUDGE a RERMRKS-� 5� r REVARKSNON - _-_ - ❑,�y� _ ❑ASBESTOS NON FRABa FACILITY MBER "�T-�* - ` *••'T� FAcury TCKET Nuo R _ — ,. r�._r .. ©WOOD CT! ❑WOOD SIG TUREOFA ZED _ �- --�• V.. SIGNATU�FyO DATE _ / ❑ASH r U_J C Q ASH / ❑OTHER Y * v J ,OTHER SCHEDULING MUST BE MADE PRIOR TO 400 P THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 4.00 P.M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONAQW AILY 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. 54033 TO SON90ULE CALL(209)982-4298 MANIFEST Is 54034