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1 � ` . SMDMH i4R170Cf�MA [IFE ,x xr. Avm V C Q RP O R'A7zE D ±L 4 �4A.sLEIREJAIJQ FAM" ' y\ +� FORWARD NON-HAZARDOUS WASTE MANIFEST s = 4 ,Y;fOB_ACCEPTANCENO.�z D�mu3 ;'',��` INCORPORATED WASTE TREATMENT AND DISPOSAL FACILfFY 1 - _.j ` �� , Z^` . �`$t JOB ACCEPTANCE NO CMM — 4402 1 - r ❑GLOVES pcoGGLES❑RESPIRATOR ❑HARD HAT []TY-WK []OTHER GEWPAIORREQLIIFMO PERSONAL.PROTECTNE EQUIPMENT J l t'C S " L A NG S TO t: - - - _ _ []GLOWS []GOGGLES[:]RESPIRATOR ❑HARD HAT SPECIAL HANDLING PROCEDURES, SARM MAILING ADDRESS ^ti� ❑TY-WK []OTHER F C BOX 37 SPECIAL HANDLING PROCEDURES CRY,STATE,ZIP e LAT Jr,[), Cir 95330 PHONE __ - I„" _ -- - _ _ , _,jAIJ HFNRTF.L SJIti 20c-Q57-5981 CONTACTPERSON • _ - * 1 ,,AV NENFICF SOP AUTHORIZFG AGEN3/TTTLE DATE7r in r� t`srt "t' CE_WG_ACdIFY•a:ic7?s+tiC.,�st4rt� G-.- .� RECEIVING FACILITY ©SLUDGE VOSM TYPE 71 ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL SLUDGE • ❑DISPOSAL SOIL ❑WOOD 9999 SOUTH AUSTIN ROAD ❑ TREATMENT SOL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑CONSTRUCTION SOIL ❑ASH a°THER MANTECA,CALIFORNIA 95336 ❑DISPOSAL SOL 9999 LL ❑ wow SOUTH AUSTIN ROAD E] CONSTRUCTION SOIL ❑ ASH • GENERATING FACILITY (209)982-4298 PHONE ®ETHER MANTECA,CALIFORNIA 95336 LArIcsTOW s 9>rrT TACKLE (209)982-1009 FAX • GENERATING FACILITY (209)982-4298 PHONE 15E15 SEVEIJT4 ST -'-T TFCI LE (209)982-7009 FAX LATHRnP TRUCK NUMBER rA — ' 5c+'cI r4 -7 NAME _ _ _ - �` :i _NQTES _ _ , L 3ICH HAlItLT011 T4U0,Irlii NAME NOTES ,TRUCK NUMBER ADDRESS 1335 PAULI'JE A11E - s LOAD '3E n 4' - •CITY STATE,ZIP ADDRESS e / CITY STATEZ1P •�T•crF. k � SCJ K • - ' r a PHONE E$IV• CA 9535E END DUMP BOTTOM TRANSFER Cl PHONE ENDAN DRUMS BOTTOM DUMP TRANSFER Cka 9,1137 SIGNATURE OF AUTHORIZED AGENT LTR OWVER DATE ROLL(s) FLAT-BED ° © ❑ - = -f• czl- t-943 * lt< it SIGNATURE OF AUTHORIZED AGENT OR DRIWR DATE RO �OFF(S) FLAT BED VAN DRUMS FORWARD INC LANDFILL CUBIC YARDS CUBIC YARDS Forward snae have no obligation tO accePt the waste d weather m omr FORWARD INC LANDFILL ) cor6toM Wreor the sale and effect"deposal �wage or a the waste aSpp�METHOD, (TO BECOMPLFTE-D BY FORWARDI repairs the sale and etlectne oPeratm of the La+dt,a Forward snae use gips ,r,EgA siDCnO'sE OTHER Forward she11 bare no oblgalnort to accept the wade d weather a Omer masorahle ell"to PrdmptM rgtrfy Depose,of 4s MI)My b accetx are - - cordnrdn s agar the sale and etlectnre disposal of the wade or 4 Ina w8m DISPOSAL METHOD- (7O BE COMPLETED BY FORYWARD) waster any reason a Forward s recusal b sooeW the waste r based e a span the sate and effecdw omalion d the L.arldta Forward shed use weather or other ecite conditions awe urh shall notify the Deposer when EPt ❑�� -asmade efforts to PrombW�y Dnspom d its rwhuay to WZW the BIO AERATE OTHER the a Ste are expected b charge such that Forward arta tx atae b accept waste for any reason If Forward s refusal to accept the waste to basad on _ the waste —� ©SLUDGE weather or other Baa COndammm Forward shalf nobly the Deposer when silo ❑SOIL REMARKS _ _-- • OOndmwm are moclod t0 chime a ch that Forward will be able 10&=W ❑NONP the wasfe ❑SLUDGE - y� - • XSBESTOS REMARKS FACILITY TICKET NUMBER _ e __... ❑WOOD NON RIABLE FACILITY TICKET NUMBER SIGNATURE OF AUTHORIZED AGF �^ DATE _ _ ASH ❑WOOD i SXaNATUAUTHOR� ❑ASH * ~ PRIOR SD EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE 17WHER SCHEDULING REFUSAL UPON PRIOR TO ONGOING PM THE DAY SUBJECT TO REFUSAL UPON ARRIVAL ONGdING GAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE ADAY�BjEFORE TO SCHEDULE CALL(209)982-4248 MANIFEST e, 5 4 03 8 SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE ` S%3WF.4z3TO REFUSAL UPON ARRIVAL ONGOING DALLY DELIYERMS MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TRANSPORTER COPY TO SCHEDULE CALL(209)982-4298 MANIFEST 0 54037