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-MIFESMH' •� � 'pE��S�WAiSi MAID FEST- !N C O R 0 ;�T a B ACC° x�-4- i- ' �t'�VIC�ST1r 7tEJ1iMpISFd.S FAC�lTY' 1 N C b R P O RA T Em-m— FALRUMl� T y aIOEPTANCE N0 .'JOB ACCEPTANCE NO.` i-• AUMQTnN 7rk ", GlESj3RESPIR/QOR ❑HARD HAT - ❑GIJOYEs pGOGGLES❑RESPIRATOR [)HARD HAT R 7i ::�� [jTYVEK',❑OTHER ,` J ny Q7 ROCEDURES - - SPECIAL HANDLING PROCEDURES. AulAm- 9- 09- 57-59131 ITflX SAN I'I _ Si O 0 7E V1745TElf�„.:a3)"T '*si s»iC RECENWI `' Yd4ST>r TYPE,+o,� Y t- esu F [3 SLUDGE ❑ SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL 0 DISPOSAL CTION SIL �D 9999 SOUTH AUSTIN ROAD • El DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ASH OTHER MANTECA,CALIFORNIA 95336 C-]CONSTRUCTIONsolL ❑OTHER � MANTECA,CALIFORNIA 95336 GENERATNGFACILrry _ (209)982-4298 PHONE • GENERATING FACILITY _ _A _ (209)982-4298 PHONE LAN3STON'S BAIT 2 TACKLE (209)982-1009 FAX 1R'S SHIT c TAC:Lt (209)982-1009 FAX 1566615 SEVENTH ST I5615 OS15 S€VEHTH ST LATHRQQ CA LATHiOP, CA NAME ^�� ` - _�.Y ..t- . _� y_ .� -Eggs. wrztiY� �xu. ? NAME - - � i , x c _ -, NOTES-,- -- - -TRUCK NUMBER ADDRESS _HAMIlt0ft TSUC'<ING 9"313 87 q biJ At]ORESS HvHAJIMOR TRUCKING _ x. �_ 9Aq-3�.3 CA 50 1336 PAULINE AVE _ LOAD *35 1335 PAUQIIIE AVE _ A_ _ __ LOAD #36 gry STATE.ZIP [ 41 `b •CITY STATE,ZIP `J 100ESTn, CA 95359 't^OESTO, CA 35359 PHONE ENDOUMP BOTTOM DUMP TRANSFER - PHONE ENIDDUMP _ BOTTOM DUMP TRANSFER 229-57x3-4100 �( ❑ ❑ 2r n-57s3-41130 ❑ - ❑ SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROIL OFFS) _ _�T VAN DRUMS SIGNATURE AUTHORIZE AGENT OR R DATE ROLL Off(S) —FLAT-BED ]UW DRUMS ❑ ❑ ❑ ❑ ib5mEl ❑ ❑, ❑ FORWARD INC LANDFILL CUBIC YARDS, _j_,, ;,_� '�� _`�_ CLLEIC A IDS - - _- FORWARD INC LANDFILL Forward et>ad haw m oblpauon b bored du waste d weather or older Forwa V"haw no obl atoq to accept the waste d wra"r or other cond,bom wpm Cr sale and ItteOrm deposal Of V,a waste Or II the waste DISPOSAI_AdEfF{OOO a{3O BE COMPLETED_BY FORWARW conau"In"urs safe and eBectm disposal pt ase waste or d the waste PSP iSAL ETHOD' (TO BE COMPLETED BY FORV"D) sepawa the sale nd IuectNe oPerauon d We LardldL Forward"use -� ,,,r r,- BIO AERJ[TE OTHER hnpsaa the sale and aftecow opershon d the landlyd.Forward shoe use reasDnable shorts b WWFVdy nO*DIPOsar a ds veWO m accept Ve - reaaonade efforts to promptly raiN prsposer d a m4b6ty to accept ft _ .. 00 AERATE waste Jar"Masan d Forward'+rahtaal to bored 08 waste a based cM .y am waste Ior"reason d Forward's refusal m accept um waste is Cued an wearier or drer ado cordmonis,Forward shoe nDhfy the DaPoaer when ails weather or dhar site cortffitgni Forward shall rodfy the pupoaer when ode VodSLUDGE i We expected lo charw such that Forward and be able m t wriadwo us expected "wath that Forward mW be ode to accept - ❑ the waste ❑SLUDGE REMARKS ~� _ ..____ slOtH FRµBI.E REMARKS .T __, ••—•+.w�--- -+_ Nt]ns FRv.BtE _ .r r ❑NON FF 0S ___ .� ❑A58EST05 FACILITY;3CKET NUMBER r„ _ — _ __ _ _ ___ FAC11TY KET NUMBER- — l —_ _ .- ❑41K]OD TIC �--.,.^�_..� ❑WOOD ZED AG SIG REQ 1 0 D AGENT — DATE Si�i�L4TURE Alft1HORJ _ ❑ASH /t�A7`L( ,1F --- `"`- ❑ASH �(//TT J{{ r ly / C{ `% �f '7 LI'` [OTHER 7� r^ SCHEDULING MUST BE MADE PRIOR TO 4-OD PA 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 a ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY 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 r 54035 TO SCHEDULE CALL(200)982-4298 MANIFEST s 54036 TRANSPORTER COPY TRANSPORTER CDPY