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.�.. �Its .w ■� .■■e ,>�• ...� ww � �w ■wt w ■wf i ww�i■t Iw 9WA `i jy� 'l. `�,'le�.Y+-A�,t- rye,�,Lh/Ls YY1'h71CIVV11`i��71 rFV1�Wit �W � ..0 4-E5•71A�s.+�=.wr.r�•-. •a I �^ INCORPORATED `r yVp TREATMENT AAIO DISPQSAL FAC1LlTY NC 07t T FD - .,�. i�-�• y Y TRFJII?AFAI4UDISPOSAL F!tiGIL1TY JOB ACCEPTANCE N0. - JOB ACCEPTANCE:NO. Y. � r G []GLOWS ❑GOGGLES[RESPIRATOR 0HARD HAT ROMGOGGLES©RESPWATOR [:]HARD HAT ❑TYaIEK ❑OT ©TYVEK ❑OTHER FIER•� x SIX SPECIAL HANDLING PROCEDURES - - SPECIAL HANDLING PROCEDURES r .—.._jA" 6 SK - * Ypsm ❑ SLUDGE ❑SLUDGE ❑ TREATMENT SOIL pNON-FRIABLE ASBESTOS FORWARD INC LANDFILL © TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL - p DISPOSAL SOIL ❑ WOOD ❑aSPosaL sOel ❑`" D 9999 SOUTH AUSTIN ROAD ❑CONSTRUCTION SOIL ❑ ,ISH 9999 SOUTH AUSTIN ROAD ❑CONSTRUCTION SOIL ❑ASH [OTHERMANTECA,CALII=ORN11 9633E 91OTHER MANTECA,CALIFORNIA 95336 (2Q9)9$2-4298 PHONE GENERATING FACILITY y . _ _ (209)982-4298 PHONE GENERATWG FACaITY I _ LAiIGSTOra BAIT 5 7AC.LE LAHGSTO,I°S BATT R TACKLE /209}982-1 D09 FAX 15615 SEVNNT4 ST (209)982-1009 FAX 15815 SEVEIITH ST ` LATHROP, CA , LATHROP, CA NAME - _ ="a�'— _ -LES, r+ TRUCK NUMBER r-�NAME - _' _ _ NOTES _ G, ._` TR"NUMBER P10 HA.IILTON TRUICCI,IG "ICH IIAI1_TLTON TRUS6IIIG - ' _ 9031387 -ADDRESS ADDRESS rl� O 1336 PAJLIIE AVE LA00 ,46 1336 OAULIEi—ARY AVE e T LOAD 047 .CITY STATE.ZJP •CITY STATE.22P Y C 54(O END DUMP BOTTOM DUMP TRANSFER I?0=5T0. LA 95355 -11DESTO, CA 95358 PHONE PHONE END DUMP_ BOTTOM DUMP TRANSFER 205-573-4100 575-410ti _❑ ❑ �X ❑ ❑ SIG OF D OR DRIVER DATE l ROLL IS) _ ,FLAT❑ p DRUMS 51GNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF{SI_ KFLAT-BED VAN DRUMS I- .... I &1 -4 `" FORWARD INC LANDFILL CUBIC YAM FORWARD INC.LANDFILL - - ` YJft°s-`---"-'-`- Forward"ta+e no o01pauon to axem to watts J weather or other Forward shah taw no obhgabon to*=M the haste a reamer or o0w condatons empae the sale m4 adeana d*ooaet of tee waste or d tee waste DISPOSAL METRO (TO BE COMPLETED BY FORYd4RDI cortlarorts roper The tate and 0411"deposal of the waste or b the waste whom tee sale and attaches epmw of the LandCet Forward shed use O<SAOSAL METFIOD:, -�BE COMPLETED BY FORVARDY erparra the sato erw enect+ee operation of the Laredt+a Forwrd shah uta `. 'ENO I AERATE OTHER r _ o reasonable gft bt to pomPty nobly deposer of 0 eabdh 10 eCCW pee _-" reasonable srbrh m Drer^PtM easy Despoaer o1 M eabtGly to aeeepl the .e. BIO AERATE SIOXx R waWe for any reason It Forwwd a rakmat to accept the waste is basad waste for any raasprt p Fwwertfa retinal ro aCupr the wade le basad on - - ---- weather a otherotner sat conddeom Forward shad eddy t+e Orsi7oter when a ❑SOIL weather or oUW eaa condlitams Forward"I rk*y the Drsposar when snit ❑SOILceaddrana ere expected to charge such that Forward ens be 0*m accept rtd cedrwU are aapecW to charge much that Forward will be able to accept , the waste ❑SLUDGE the waste _ p SLUDGE REMARKS -- HON FRIABLE' -- i' --'- -w '• r�+rpt:^ REMARKS - x 5 s ❑ a _ w « ❑NOW-A1J9LE +s c -,�.,, ASBESTOS FACILTIY TICI(ETNUMBEA_'_ T } "�"y^'' "�;' ASBESTOS FACILITY TICKET NUMBER a �_.= �., ` e _ ❑VdDOD SIGNATU�AGENT`_ pATE _ ❑WOOD ASH AUTHORiZED ti !` ❑ASN 7k J�� _1 I .K [ OTHER SCHEDULING MUST BE 7p4DS-PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL m ANY UNSCHEDULED LOADS ARE SCHEAUUNG-MUSX-BE WIDE PRIOR TO 4.00 P.M THE DAY PRIOR TO EXPECTED ARRIVAL e ANY UNSCHEDULED LOADS ARE SUBJECT TO REPOS7t171I156N ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LAPIOFlL.L THE DAY BEFORE SUfWECT TO REFUSAL TO SCHEDULE CALL{QP90j 9 ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)842 429a MANIFEST r 54046 MANIFEST r 54047 TRANSPORTkTi COP'+'