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FORWARD NON-HAZARDOUS WASTE MANIFEST zf6kWAkD NON-KaARDbUS wAm MANIFEsT 1-N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. JOB ACCEPTANCE NO. =J flES_I pHGSTON ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT i;i JAHES M `KANSI®k LANGSTO)1 []GLOVES ❑GOGGLES❑RESPIRATOR 0HARDHA7 ❑TYVEK ❑OTHER ❑TYVEK []OTHERP p 80X 97 P O BOX 97 SPECIAL HANDLING PROCEDURES a -s. r- SPECIAL HANDLING PROCEDURu • LATHROP CA 95330 LATHROP CA 95330 n��.___.� ,.,. 'tea 209-957-5981 � � 209-957-5491 • TM. .e�at�+ .+Y��a..�]'7. COINaCfPERS '"`_'= _ JAN HE RICKg0HJAN HCEWICKSON SiCiHAT�1RE NT/ s ,_" DATE_t-,,..__ SK3NATUREO _ EMF'jsj�SL�� UATE 'T � RECEAIAK3 FACLTT)f_ L. w9vtw -.•_7 RECEANG FACILITYUJDG ❑ TREATMENT SOIL ©NOON-FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL p OFRIABLEN FEIPBLE ASBESTOS FORWARD INC LANDFILL • ❑DISPOSAL SOIL ❑ WOOD * ❑DISPOSAL SOIL ❑ WOOD gggg SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL E3 ASH 9999 SOUTH AUSTIN ROAD C)CONSTRUCTION SOIL ❑ ASH : ROTHER MANTECA,CALIFORNIA 95336 1 {BOTHER MANTECA,CALIFORNIA 95336 GENERATING FACILITY (209)982-4298 PHONE GENERATINGFACLLlTY (209)982-4298 PHONE _SOT I I E BATT h TIC/LS (209 982-1009 FAX � 9,l!T ' r'�''` (209)982-1009 FAX TEV;:N'Tu ST ) 1 )'1: ler.' "T4 c: �ATHROr' CA LAT.gDOP• CA r NAME NOTES. TRUCK NUMBER E f NOTES =7FtUCKUMBER–,^ .-7 7TC-1ADDRESS ^' ADDRESS LIr,1 '51 CJTY STATE ZIP CITY STATE ZIP 7 Y y;', r PHONE J r , 93" r END DUMP BOTTOM DUMP TRANSFER PHONE y ENDt�'D�UMP BOTTOM PUMP TRANSFER ray '7i rt.Z.S.ALr� .J"> a.s ❑ ❑ , I —��{-jSr LJ LI ❑ SIGNATURE OF AUTHORQED AGENT cP DUF DATE ROLL-OFF(S) FLAT-BED VAN DRUMS SIGNATURE OF At17HOR1ZED AGENT OR DRIVER JDATE ROLL-OFFIS) FLAT BED VAN DRUMS cl 11 FORWARD INC LANDFILL CUBIC"A FORWARD INC LANDFILL G11BIC YARDS 4 Forward ahave no obapatron 10=eol the waste d wdher a other Forward Shea have rip oDtrpatrpn 10 accept the waste d weather or pini ! hae eorderons Tripes rhe axle and dfedrre disposal of the waste a if an wasteDISPOSAL METHOD' (TO BE COMPLETED BY FORIAIARDi condaiom mpar the uta and eNeelrm d4o0sal of the waste a$ere waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) es erQathe axle and eflecfne operation d the LA dfla Forw""um DISPOSAL the sate and atlectwe operation of the Landfill Forward snail use nasonaOM efforts to Promptly needy Dtsposm d as nabaly to socea IM Bl0 JAERATE Sl OTHER reasonable etlans to promptly nofrly Disposer of its naRNy to aCceor the DISPCISE BIO JAERATElsx0muOTHER wash for any reason,I Farward a mtusel to acceal the waste is Weed on waste la afty reason It Forward a refusal to acced rhe waste 4 bash on vwsU r a~vile conMtons.Forward stall nolay rhe Daposer where Otte ❑SOL weather or other see condemns.Fawara shall nerdy the Disposer when a,te nlqofr • condlions are expedod to such Mai Forward will be able to accept crndamns are expected to charge such that Forward ml W abte to accept the waste ❑SLUDGE the Mule ❑SLUDGE + REMARKS • REMARKSNON-FROSLE _ ❑ ❑ASBESTOS I ASBESTONON S FACILITY TICKET NUMBER FACILiTY/T'ICIT NUfAl3ER �� r SIGNATl1RE OP A}1iT40RIZED AGENT ❑WOOD- DATE SIGA�A ❑WOOD Tuo,6VALITHoRgED oWENT ` I, DATE ❑ASH Or _ ❑osH - - ❑13TF4ER C]OTHER SCHEDULING MUSTBEMADE-PRIOR TO 4.00 PM THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 400 P#ll 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 t SUBJECT TO REFUSAL UPON ARRIVAL ONG04NG GAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL TH5 DAY BEFORE SC TO IlEOULE CALL 1209,9112-42911 J 2.42911 MANIFEST. 5 A 0 6 1 TO SCHEDULE CALL(305)962 4288 MANIFEST r J 40 6L GENERATOR COPY GENERATOR COPY