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1 � - { FORWARD �M'd�A R PODS �y _�._ . D µ NON-HAZARDOUS WASTE MANIFEST j :� yJ�B ACCEATANL+ NO, �+r" 1 N C O R A 0 R A T E D WASTE TREATMENT AND DISPOSAL FACILITY r �• J08 ACCEPTANCE NO CMH 4402 i iin -l,At +.s�,d';ra' 1DT0V ❑GOGGLES ORE IRF}O.❑FWTD FiAI • GENERATOR RE PERSONAL PROTECTIVE EQUIPMENT 1lY1fE Q I A1130T91 []GLOVES ❑GOGGLES[]RESPIFiATOR ❑HARBHAT "". ""'._ 4A '_,; -�#�r`�ar-` a SPECIAL HANDLING twY MAILNG ADDRESS- - ❑TY VEK []OTHER�ROGEDURES="-, y�' as f __ i._c SPECIAL HANDLING PROCEDURES Agaw _ v;i - ar..a3?c�yFtP _ ?'� t- - - _, GTT)SATE,aP r _' r yip+ �,� -f ��r _.. - • I7,ZIP i7--�twC1J i.. .. _ PHONE inC-gr77,V Cidf]'�- NRTrKjpj a0N1=PERSON _ J * J In0t Eflpjcl S1111 SWAATIR `/ AUTH PfW AGENT/TITLE DATE. f E RECEIVING FACILITY ❑ SLUDGE ❑ TREATMENT SOIL ❑NON-FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ SLUDGE • ❑ DISPOSAL SOIL ❑ w000 ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ CONSTRUCTION SM ❑,LSH 9999 SOUTH AUSTIN ROAD ❑DISPOSAL SOIL ❑ WOOD (OTHER MANTECA,CALIFORNIA 9533fi ❑CONSMUCTIONSM ❑ ASH 9999 SOUTH AUSTIN ROAD BOTHER MANTECA,CALIFORNIA 9533fi (209) 982-4298 PHONE LANGSTON'S SEVENTH !& TACKLE (2091 982-1009 FAX - GENERATINGFACU N (209)982-4298 PHONE 15615 LATHROP. CA t•i;71 EI TI- (209)982-1009 FAX _ - 5-c� � ` VnrlL r idAi 6= +sF i i RICH HAfdILTON TRUCKING C31�� NAME NOTES. TRUCK NUMBER 1386 PAULINN AVE LOAD 1'51 ADDRESS •CIi1i 5plTE'Lp�:."_"�"�?"-.��"'--r,-r-..r--s-+Kr•��•� ,-�-,----z=-{?�a�.«�..rz _ t4 -- � .,,�... �--- - ...�+.__�+..�:..'._wa►'s.� MODESTO, CA 95358 CITY STATE ZIP_ PHONE' } cam' _ y_ .. ~_ �« .._ _ENDDUMP:�S ._-,BOfCTOMDUMP=._ 7FFW_JSFER ,1ESii3;£--4c�c. _ -209-578-41008®X 13 11 PHONE ' ENDOUMP BOTTOM DUMP TRANSFER 8tGNATUREOF'AU7HORMEC AGENTOR&VERDATA__r ' --0F S f�AFBED- —Yhll r,�DRIaA$ � ^�t�ft-+F.{f4 — �' © ❑ C30 13 El 11 SIGNATURE OF AUTHORIZED AGENT OR DRNER DATE ROLL-OFF{S} FLAT-BED %AN DRUMS �ch1-11_1d—K-9 ❑ 7�C FORWARD INC LANDFILL O" Y" —' �'�` ' �` i forward 00hanooblipinnto.awother I - FORWARD INC LANDFILL YARDS » conditional Lem the aorta and a fecthcd thII •disposal e waste or the waste DLS $E COMPI�fED ORYZxAp} Forward snag have no ooipelron to acceta the waste d wasewr or other knp-ra the sate and ez=operabon of Dile Lancitda Forward aha)use +a eorwmorn+roar the sale and ellecir a drwosal ce ule waste or d the waste DISPOSAL METHOD LTO BE COMPLETED BY FORWARD) naaaaew efforts to pro plly rpRdy Doppaar o!dS>natl4ly 16 aCCapl Me rrpa,ti The sale an0 elfeW4 omabon Of the Lanctill Forward shat`use waste for awry mum r Forward's fehgai to aceapt ft waste is basad on �c� reasonaW edorls 10 promptly rady Oalpdser of ds entaNy 10 accept Ne &O AERATE STtx'itvltE OTHER wather or other see ouncidum,Forward Abell notdy the Disposer when site I� wase for arty reason It Forward s recusal lo accept the waste is basso on ❑SOIL emdaaaons or*expected to llterge ouch that Forward W be atm to accept weather or other site Conditions,Forward shall nblrly the Disposer when We rthe " Q ❑SLUDGE CoVthofts are expected to Charge such that Forward will be able to accept + the waste ❑SLUDGE ❑NOtI47AMILE � REMARKS ❑NON FFI"E ASBESTOS ❑YID FACILITY TICKET NUMBER 0 WOOD I y ❑ASH SIGNATUREAF,AJ.fFHORIZED AGEfQ�� O-ATE _ ❑ASH 7� It ❑OTHER * - 1 v I f Q OTHER SCHEDULING MUST BE MADE PRIOR TO 4-00 PAL THE DAY PRIOR TO EXPECIED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL,ONGOING DAILY DELIVERIES MUST BE SCHEDULED WTTH THE LANDFILL THE DAY BEFORE SCHEDULING Wsy-fie-wAbE PRIOR 10 4-00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOAD$ARE to scrt,<4ULE CALL 1;2091 992-4299 -tea, MANIFEsr+ 54 051 TO SUBJECT TO REFUSAL CALL UPON 982-4298 RR24A8L ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE:DAY BEFORE MANIFEST, 54052 TRAWK314TER COPY I