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aN -•�fs�:= '�� ,�• -"� , >',_.Y0 Yl4SfETAfi4T1N y4ND ACalTY~ixxsr � ,.'�}'` ?•. Frr�SPOSALFCOR "UAT> Dft? _ . 0ORPORAT JOB ACCEPTANCE N00`a ,! NE4Sv-fTi3A71NEM` pSPOS Y'F+A�-`CI'QF. IEf.YSTrY x []GLOVES ❑GOGGLES❑RF"aPIRATOR []HARD HAT []GLOVES ❑GOGGLES©RESPERZOR _OHARD HAT ❑TYVEK ❑OTHER , { f ❑TYVEK ❑OTHER SPECVL HANDLING PROCEDURES -#iE5Uofi _ SPECWL HANDLING PROCEDURES.OM , 452- • _.l811_HFIIRIGKSJ7 --d YISASfE TYPE_L':-rx'-s Y'4' .�- r RECf34RJGE14CR[T.1C'�.At3ti�.�r-P�-"L,•�t"_".'.s-,*�� _...��.`�T. a�w:.. .t� RECE7V�lGw'x tryie..,c�.*...+.arrn�yr-a�-_-,�-+_ y ❑SLUDGE © SLUDGE ❑TREATMENT SOIL ❑NON FAIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ©NON FRIABLE ASBESTOS FORWARD INC LANDFILL El DSWOOD CONSTRUCTION SOIL r9999 SOUTH AUSTIN ROAD DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD OTHER MANTECA,CALIFORNIA 95336 El CONSTRUCTION SOIL �a EA MANTECA, CALIFORNIA 95336 GENERATING FACILITY _ (209)982-4298 PHONE GENEAATNGFAGUIY � �.- _ (209)982-429$PHONE LA IGSTOW S BAIT & TACKLE (209)982-1009 FAX LANGSTO I'S RIAT & TAC`(LE 15615 SEVENTH ST 15615 SEVE'tTH ST (209)982-1009 FAX I T RnP rA LITHROP, CA NAME _ ';-.a _{'yes?," _ ___ NOTES .r.r.+r' b -- it j UCK NUMBER FIALAE _ _NOTES_---- _ —TRUCK NUMBER ADDR ICH HAAILTON TRUCKING 9L 3) 3s-) 9,/0 ADDRESS � H HAHILT011 TRUCKING _- - - C/N�/�7-3 Com'• 1336 P4 LI99 AVE - LOAD #41 I YnA�aP 136 PAULINE AVE. LOAD #42 t103ESTO„ CA 95358 1 91 60 I -CITY STATE Z)P _ PHONE ENO DUMP BOTTOM DUMP TRANSFER NOOESTO, CA 95253 PHONE END DUMP BOTTOM DUMP TRANSFER 209-573-4109 fl 13 11 �Og_579-4190 SIGNATURE OF AUTHORIZED AGENT 6A DRIVER DATE ROLL-Off(S) FLAT-BED VAN DRUMS r ❑ ❑ ❑ ❑ SIGNA7UREpF AUTHOR ZZ AGENT OR R DATE ROLL-OFF(S) FLAT-BED V/UJ DRUMS *_ ❑ ❑ ❑ ❑ FORWARD INC LANDFILL CuBIc YARDS-- _ _ _ _ CUBIC YARDS FORWARD INC LANDFILL. Forward t�Lh have ro oh~trr m aeeapt the waste w d weather d t a cher CdINI10nS neer 11fe nate and OffeGhVe deposal d the waste a d the wasteforward shell faha ro dChOalon to a[dePl Wewaste d wealhn U War DISPOSAL METHOD--_(TO BE COMPLETED BY FORM40ARD) Cond tions VMW the sale and efleCtwe disposal of the waste or d the waifs ahpare the aIle and effacuse dpersMorr d#*lardhtl Fanwartl slats use _ DIS METHOR. (Ti7 BE COMPLETED BY FOFi41G3RD4 rfuorWA etmRs to patrgty noWy Deposer of 4s v*Wy to soup!to _ ___ W AERATE gpER anpaus the safe and eflecw*operation of the La dal Forward Idea use w BIO AERATE OTHER waste fpr any reason fF Forward's nRael n accept the waste a CatW on -- - -- I ressonaW etmrta m ponPdy moldy Deposer of ds nat4ty b socept me _,_,..,..- _- - _ mt wasmer or dyer ads.It Forwards Forward l to the Deposer when ode ©SOEL wase far of er sdn o Forward a mynah m accept W wise a Cull on ❑ - oorddlons are expected b change such that Forward eN be 9*m accept a•euter or m* oda Cd to change .Forward shah rotdY ate A e able Io an epi SOIL the waste ❑SLUDGE the w wn era arpeGed m dyarge Bucy that Forward wrtl to able b accept • REKORKS the wast! T []SLUDGE • REMARKS WXJTY TICKET NUMBER s - A ASBESTOS SE3B ESTOSTO5 ' - —��`. _ - - ❑WbOD FACILITY TICKET NUMBER _ -- _ _ _ ❑WOOD *IGNATU OF�kJTFI�HL7i�+ti6 DATE _ _ ASH SIGNATURP�AUTHOFUZ120 AGE „ _ DATE r (^ - ❑ �---� / �1 < - ©ASH 4HER 7� -_7`'� �. 1 J It BOTHER SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE STO CHEDULED WITH THEE D ARRIVAL 0 ANY UNSCHEDULED LL THE DAY BEFORE ADS ARE SCHEDULING MUST-Off-MADE PRIOR TO 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SU SCHEDULE GALL L UP 982 ARRIVAL H 54041 SUBJECT TO REFUSAL.UPON ARRIVAL,ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE MANIFEST TO SCHEDULE CALL(209)982 4.288 MANIFEST s 54042 TAANSPORTTER COPY TRANSPORTER COPY