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I yr� P • ,� ,�� " A;E J FORWARD NON-IfAZARDOUS WASTE MANIFEST _ . JO�A6' �GCEf� iC�N0 �b 1 N C C)R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY sn*-fs � _ + JOB ACCEPTANCE NO CNN — 4402 4N -,+.Auf r .r �s� r u- GLOVE ]GO_GG[ES ARES Ff I]HAAD HAT GENERATOR --L REOUIFtED PERSONAL PROTECTIVE EOUAPMENT MISS I . Lalr'S;C" ❑GLOVES ❑GOGGLES❑RESPIRATOR QHARDHAT �'„�X••"^s"*.iV'> r, +'J`yr �s 'rte Mr r�'�r' i' w«�#. - -'ice. '.f.=�l':r f ix ce7}-`✓'_ �,y ^,,✓ i=«" r MkI-WgAp DDnfMSUS c ❑TYVE( []OTHERSPCLALHANDUNGPROEDURES�-,a�'-" r SPECIAL HANDLING PRO CEDURES �TsArc,-_. Jjj-120R 952 1 I;Qpl -11 " PO LAICT PERSON SIGNATURE AGENT/TITLE DATE E RECEIVING FACILITY ❑ SLUDGE ❑ SLUDGE (3 TREATMENT$OIL [INON-FRIABLEASBESTOS FORWARD INC LANDFILL [I TREATMENT SOLE El NON FRIABLE ASBESTOS FORWARD INC LANDFILL ' ❑DISPOSAL mu S01 p Wool)) 9999 SOUTH AUSTIN ROAD ❑ DISPOSAL sou. ❑ WOOD [3 comSTRucTION SOIL p ASH 9999 SOUTH AUSTIN ROAD -OTHERMANTECA,CALIFORNIA 95336 [3 CONSTRUCTION SOIL ❑ ASH @-OTHER MANTECA,CALIFORNIA 95336 GENERA7ING_FAGTL1Iir- =��r = �� --_ i:;�'_•.`• (209)982-4298 PHONE • -GENERATING_ (209)982-4298 PHONE LANGSTON'S BAIT B TACKLE (209)982-1009 FAX ^ 15615 SEVENTH ST -c -STP' 'c Tk'" F Tr - (209) 982-1009 FAX A HROP. CA ti ccl' tiT rynn ti ..+vARMfiti NAME NOTES TRUCK NUMBER R C HAMIL,TON�TRYCKTn SG�13S�] _ - - t ..� r ADDRESS-.r:,q -" ADDRESS -��i. S - 1336 PAULINE AVE � :� LOAD 053 -UTY dab' Y"��y �- _ ,. -._.r"•-� �C 5 CITY STATE ZIP � MODE$T0, �A $5358 f _ G PHONE_ ' U:ENODUMR-4t—vv 9010MDUMP_�-" _,TRANSFfFR PHONE _ � f-r END DUMP BOTTOM DUMP TRANSFER 209-578_0100__ _ _ ❑ ❑_ a-_ 11 11 SIGk4TUAE OF.NML0RIZED AGENT OR DRIVER- QTE�s 4=m AOLL-0F�S�BED a W4N W-DRUMS_,,, ~�'��`{'` J 4�f [�� © © ❑ ❑ SIGNATURE AUTHORIZED AGlfff OR DRIVEF� GATE ROLL OFF{S} FLAT BED WW DRUMS kl, _q * ❑ p 0 ❑ 4 FORWARD INC LANDFILL CUEN CUBIC YARDS Y ° '� "'�'" ''' "�`�'� FORWARD INC LANDFILL ForwaW Shall haw no,obligation to a!&Pt IM wine A weather or other _ cofSdhhdltl m,par ft Safe and eflectOw dgPosal of the wage or d the wafts Froward shall here no 4 esgn ID accept the waste d weather d t e dine ENSPOSAL M' B�COMPCETF� FORY1aWD) CC d t Onf n peh the safe aqd alketrw d sPosal of the waste at a the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) Lir sdr rid UTVWtill operation DTs o1 the Landfill.Forward Gap Uel rrrr..r �a C hmPaef The sale and dfeeuw operathor+of the larWlhu Forward Shoo Lase raaadnabla eMprlf to VnnPtly notify Dnposr d as nebhtll'to auept aha B AERATE reasonable eflonS to prcalp ly notify DiSmer of a5 hnsUbly to tuxam the OLSPOSE BW AERATE 15RXICIAlUE OTHER waste W aM reason f�'�s rwhs a to accept Phe wrsU m WW on rt waste for areason B Forward f refusal to accept the waste ia Gored on weather or other alta*&xM erla Forward shoe fro*the Dhspoar When arta ❑SOIL weather or other sda cor,dnhau Forward ahau notify it*ChsDaw when site ❑SOIL Conditions we cipected to carp ouch that FQ-ward wil be able to accept CCnd+honf are txpected to ChArip Uch that Forwara will be ahte to accept the waste ❑SLUDGE the waste SLUDGE " NON FRIABLE • REMARKS NON FRIABLE ❑ASBESTOS ASBESTOS !' FACILITY TICKET NUMBER ❑WOOD ❑wool) @QRF4(MIM Z ERM ❑ASH S�GNATlF�01�AU7HOPoZEDAGDP=5- - -\ DATE �1 +! _A ❑ASH 7� �� `[`� `� ER 7� %• ` - - SMTHER SCHEDULOAG MUST BE MADE PRIOR TO 4 011 P.M THE DAY PRIOR TO EXPECTED ARRIYlLL a ANY UNSCHEDULED LOADS ARE SCHEDULING-NVUST BE MADE PRIOR TO 4100 P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SUBJECT TO REFUSAL UPON ARRIVAL_ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE M SCHEDULE CALL 1209)982-4296 MANIFEST t 54053 TO SCHEDULE CALL(209)682 4298 MANIFEST. 54 054 .� twaraccnwlcR COPY GENERATOR COPY