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1=11 some FORWARDNON-HAZARDOUSWASTE MANIFEST ,fi R E OB G �C s )N CORPORA TED WASTE TREATMENT AND DISPOSAL FACILITY r� , JOB ACCEPTANCE NO CMN — 4402 ©®COGGES❑RES-PIRAOR?p.'❑HAR.P FAT GENERATOR _ _ REQUIRED PERSONAL PROTECTIVE ROTECFNEEQUIPMENTQ IAhES LANGSTOI [-)GLOVES ❑GOGGLESpRESPiRATORp HARD HATaM_ A — - - M - ADDRESS ❑TYVEKpflTHER SPECIAL.HANDLING PROCEDURES~ ' his _, ° 0 IZO Y 97 _ ....- +:' ''k' Ra:- hyrry - t /rte/Ci T� a T SPECLAL HANDLING PROCEDURES • x +�`iTi? S1rT.rS iYii=Fl^,'/ hk.L�_{_ rt 3gR��31• Ss^ i — r Uri Hin Li"....•---- �.u� .— I— _ PHONELkTfE��P�_*.4 � - - �9"�"+�'ra•'•- i - s' _ I _ ��O�rtr~.� ....ice..- �...... �. -... . .. IAII yEr• ,,plrl.cnr SI n.TL RE%.$4lTHO NT/TITLE DATE Vtijf3TE RECEIVING FACILITY ❑ TREATMENT SOIL ❑NNOON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ SLUDGE p DISPOSAL SOIL H VMODEAL E] NON FRIABLE ASBESTOS FORWARD INC LANDFILL p CONSTRUCTION SOIL p ASH 9999 SOUTH AUSTIN ROAD ❑ DISPOSAL S ❑ WOOD - 0 HER MANTECA, CALIFORNIA95336 ©CONSTRUCTJON SOIL p ASH 9999 SOUTH AUSTIN ROAD • OTHER MANTECA,CALIFORNIA 95336 GE�FACR�TY��'l�+s`""`_�'�::e^_•",-.''litr .�,�. LANGSTON'S BAIT'E TACKLE {209)982-4298 PHONE GENERATING FACILITY (209)982-4298 PHONE 15615 SEVENTH xY ST (209)982-1009 FAX '_91 ; --r 'r r,__ , ;fi, L" LATHROP, CA 5111_ ;rEr - (209)982-1009 FAX C NAME 5 L 3 1 3 S 7 - -- V NOTES TRUCK NUMBER _ADORER 5��, r ADDRESS' 4"'" T"' T U �� r' 3 %PA11l.71tE 1!E LOAD 115T CITY, ss r �� - r.� �� ^ l`Jt` Er MODE5TO ,LA 535B AJC 1 CITY STATE ZIP PHONE s -- ' _- � :_ =_T - - - rEEND DCIIuIPa ?�'6OC70M pUINFiiL'��RANSFFR PHONE r n E L END DUMP BOTTOM DAMP TRANSFER 209-578-4100 __ � �} �- -❑ - ❑ SIGNAURE OFAUTHVGECER� /TE�6VNE - �m?O SIGNATURE OF AUTHORIZEOR DRIVER DATE ROL-OFFS) FLAT 9ED❑ VW DRUMS J FORWARD INC.LANDFILL CUBIC-YAR r T" `��' FORWARD INC LANDFILL cuBlc YARDS ��7, Fdrwafd WL ttaw np oblgaaon b aezepl the waste V weatlrer a other Fwwa,0 Shap naw no ob gatgn to accept the waste d weather or oll+er cdrtdrtto I roper the we Mtd Sam bon of Lh L Ne was or a er waste DLSP� g EOMPLETTEDBY FOryV1I D wrpav the safe and eftecln a dat,osal d trw wase a a the waste cdrtd+lions DISPOSAL METHOD' tmparra ftq seta acrd anacuw vperabort aI 9N l.artpfil Forward aheA use -�' impaus the sale and eNedms (TO BE COMPLETED BY FORV�lARD RaSortabk elrorta b pratplly rtolLfy Dgpdaer of Its inability ID aeoepl dta apify U,o!the Lirtdha Edward shah,me ) wash tdr arty reesors q Ftirtwarda refusal b accept the wasm q based dd roaaortabla eHpris to promptly notify braposar of as rWlMaty tD accept Ihe SPOSE 810 AERAL7'E StDCr�PaF OTHER waste 1d any reason N Forwards refusal to accept the waste a basad on wfatfap a m sae d to dn},Forward aha❑noway w DF1Poaer khan W SOIL weather or other me condilicm Forward Shan not6y rhe Dawwr when s,la -SOIL ' dortdlhorq ars a�Pectad b efwVa such that Forward wife be ahk tp aCCeOt SLUDGE conddlons are expected W chugs such that Forward wls be at4 1.accaol _Aha waste © t • • REMARKS ❑SLUDGE ❑ ❑NON FRIABLE FACLLITY TICKET NUMBER ASBESTOS ❑wow ❑woOD SIGNATURE OF AUTXQRVW AGENT DATE ` ❑ASH l r' ER +* -- �} ©ASH HER SCHEDULING E PRIOR TO 4-00 PLM THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE,PRIOR-TO 4 00 PM THE DAY PRIOR TO EXPECTED ARRIVAL.ANY UNSCHEDULED LOADS ARE SUBJECT TO RELRISAL 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 TO SCHEDULE CALL(209)982-4298 MANIFEST, 54 O5 7 - TO SCHEDULE CALL(209)9a2 4298 MANIFEST q 54058 TPANSP09FERCOPY J ---J i_ GENERATOR COPY