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r JOB ACCE"PTA'`NCE�{N"0z._-I�" M, .IQ015POSALFACB�T'Y FORWARD NOS-HAZARDOUS MANIFEST " ,_wINCORPORATEDFACILITY [O]GLOVES ❑GOaGtFS pRESPIRATOR _ ❑HARDHAT [ JOS ACCEPTANCE NO FeHN 4402 EITYWEK 1[3]OTHER- I.,,__.,. -- REOUFfEnFPRsoNALPFMECTMEOUPMENT y q7 SPECIAL HANDLING PROCEDURES 11CISCSIltK J�_'."fS 1nf5LU7' []GLOVES []GOGGLES(]RESPIRATOR ❑HRRDIiAT N& LAT.411'rip- 4A9MADDRESS ❑TY VEK ❑OTHER U-p 7-- j -�g raw-fir -�� r SPECIAL HANDLING PROCEDURES �T Rr1G AN RF_HON s.ii.:.. —`� O M S57-59E1,. _ ado& - JAI SIGNAXWlF_� � FR-TCI S11' iTTTIE -crr, rs- ' i AUTHO n7ED NT r ❑ DATE SLUDGE - VVISTE TYPE RECEIVING FACILITY ❑TREATMENT SOL ❑NOWFRIABLE ASBESTOS FORWARD INC LANDFILL • ❑DISPOSAL Spa ❑ wow 9999 SOUTH AUSTIN ROAD © SLUDGE ❑ CONSTRUCTION SOIL ©ASH ❑TREATMENT SOL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL OTHER MANTECA,CALIFORNIA 95336 ❑ DISPOSAL SOIL ❑ Wow 9999 SOUTH AUSTIN ROAD RY- [3 CONSTRUCTION SOIL ASH GENERATING FACL (209)982-4298 PHONE 90THER MANTECA, CALIFORNIA 95336 LACIGSTON'S BAIT 6 TAC'CLE 15515 SEVENTH ST (209)982-1009 FAX GENERATINGFACILMY (209)982-4298 PHONE LATHROP, CA _ ,`T —, -T - '-E (209)982-1009 FAX NAME r _ NOTES�..�a"_ •- r'-/ TDg K NUMBER i EEVEI .r LT ADDgIREWI HAMILTON TRUCKING C/W(13973 jC) NOME _WTES ,TRUCK NUMBER 1336 PAULINE AVE LOAD F3'I --_ =_' - __ S-E�m(_u CRY STATE,21P ADDRESS LIODESTO, CA 95356 �� _ _ Ill^C. I. , n PHONE END DUMP BOTTOM DUMP TRANSFER .CRY STATE ZIP 209-578-41CC Q ❑ _ ❑ _ 111NIZ911 cA, r4GNATL�OF AUTHORIVED AGEN�RIVER JDATE�� ROLL-OFF(S) FLAT-BED VAN - DRUMS PHONE - x(S3 BOTTOM DUMP TRANSFER �k, �� /d .� j !I ❑ ❑ © ❑ SIGNATURE OF DA �` FLAT BED +ave DRUMS CUBIC YARDS - w` l Y /.._,��.A �S`�s ❑ ❑ ❑ FORWARD INC LANDFILL - forward"have no tto obbgan to accept the waste d weather or allw CUBIC YARDS cor4dwis Prow«r tate and eflocLve disposal ot the wam or r the*We METFIW - (TO BE COMPLETED BY FORVJARDI FORWARD INC LANDFILL rapaas l he sate Ara elfecttve operation d the Laratd Forward shall use I i i reason"all"lo prompty mily Disposer d dA nae ty m accept One _ - BIO AERATE aKR Forward"lave no obligation to accept the wase d weather or otter waste fpr airy reason.q Forward's rehaal to accept she waste a Lased an µ - - coned n wripar the safe aro efteCtW dhapoaal d the waste or l the waste weather or other ode condliorns Forward shall notify the Deposer when arta SOIL rnpaxa the safe and eftedwe operaWn d the larsdhll Forwyo shwa use DISPOSAL METHOD RTO BE COMPLETED BY FORVWWD) coldnotl are expected to change Arrh that Forward wig be We to accept reasonable~s to promptly rnotdy Disposer d d3 eaoddy to weefy the _ SPO,SE 610 I AEFAATE SMI OTHER SLUDGE waste for any reason.q Forwards recusal ID accept one waste a Lased xn ♦ E•waste _ ❑ _ vaathw ether ala coddions,Forward shag roily the Disposer when Xe SOL REMARKS _ _ ., y- - .,. er NON fRIABIE c0nddOm we expected to charge suds that Forward wilt be able to accept ©A58£STDS the waw E3 SLUDGE FACILITY11V0�Y TICKET NUMBER T ♦ REMARKS NLN FRIABLE❑ ❑AsaesTDs SIGNATURE (' N DATE . FACILITY TICKET NUMBER ©gSf1 � WO ❑ OD SIGFGRE OF AUTHORIZE RATE f nQTHER _ ❑ASH SCHEDULING-MUST-SE MADE PRIOR TO 4.00 PA THE DAY PRIOR TO EXPECTED ARRRVAL•ANY UNSCHEDULED LOADS ARE ❑�ORtER SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL 12011)1162 4298 MANIFEST♦ 54039 SCHEDULING MUST BE MADE PRIOR TO 4 00 PAA THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFLU THE DAY BEFORE TRANgPORTERCOPY _ _. TO SCHEDULE CALL(200)982 4208 MANIFEST- 54040