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NON-HAZARDOUS WASTE MANI ' ,rKV NON-HAZARDOUS WASTE MANIFEST RK KW I N C O RP O RA T E D• WASTE TREATMENT AND DISPOSAL FACILITY O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACJIITY JOB ACCEPTANCE NO. JOB ACCEPTANCE N0. ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HAROHAT JAMES M LAH6STON ❑GLOVES ❑GOGGLE30RESPFATOR QFWRDFWT LA ❑TYVEK []OTHER cma ❑TYVEK []OTHER u E. flIl _ SPECIAL HANDLING PROCEDURES o 0 BOX 97 SPECIAL HANDLING PROCEDURES - 209-957 209-957-5981 JAN-FLENRI SON _ JAN !i' RICKSOO SIGINPSIIAE OFNT t TT[LE OATS ' SIGNATURE O THO§- _ 9yo WE RECENM 64CLrly_ _ _ _ _ _ __ _ RECEIVING FAGLIiY- ❑ SLUDGE ❑ SLUDGE ❑TREATMENT SOIL ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ©DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD • Q DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH ❑CONSTRUCTION SOIL ❑ASH Z,OTHER MANTECA,CALIFORNIA 95336 [tOTHER MANTECA,CALIFORNIA 95336 • GENERATING FACILI Y (209)982-4298 PHONE • GENERATING FACILITY (209)982-4298 PHONE {209) 982-1009 FAX , A ' `T- 'a - � T-� L` (209)982-1009 FAX 15A35-y r,- l-�7_r ,C 1''lS. c JT rT_F LATRRl7P rj LI; ;h}" v NOTES TRUCK NUMBER NAME NOTES. TRUCK NUMBER NAME � `�I S J % T,sh ar "' _ 3- III T I j RLI �rJ, ?A4- `tet- f�i', DRESS �:ZLI SILTO i'1Cn:s. ` w ADDRESS 1 CITY STATE-ZkP GtTY STATE ZIP ^ r L.,t�`, ��I� /t- _ _ /�. _ litf� r=t ativ i J C' uu..v.. PHONE _ t I, END(DUMP BOTTOM DUMP TRANSFER PHONE ' ! END DUMP BOTTOM DUMP TRANSFER +77^ 4 LJ ❑ ❑ ) ❑ ❑ SIGNATURE,OF AUTHOPoZED,AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS SIGNATURE O�AGT 6 11 6 AGENT OR DRIVER D jys ROLL-OFF(S) FLAT BED VAN DRUMS 11 ❑ ❑ t� FORWARD INC LANDFILL CUBIC YARDS FORWARD INC LANDFILL CUBIC YARDS Forward ma hm no odigalwn to accept the waste A weather or other r�f ! Forward shell nave no(o4gat+on to Accapl the waste d weather or other soM+hprts.norma the Sala aro efectwa disposal of the waste or II the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) condtnti ms aoipa,r the sate aefectwe disposal 0 the wase or a the waste DISPOSAL METHOD' (TO BE COMPLETED BY FORWARD) rg eass the sale Arid elect"ematKn of the Landfill Forward Snarl use rrapa+rs the Late and enactive operation o!the Landh¢.Forward shall L'5680 AERATE OTHER reasonable Nbrts to prmen 1pog remity Dbaer d nabrht its, y la accept ve BIO AERATE ISTOCM11 OTHER re8epnabh..,,Is to promptly mtrty Disposer of is traWly 10 accept the waste for amt reasm.f Forward a refusal lar accept the waste is based on I washe la any reason If Forwamd s rat"aT to AcceW Ire waste is based bit weather or ofer uta cwxk ons Forward shat notify the DISDOW when ate &S� weather or otter We COrldiL m Forward shall nol4y the 040ow when site L.l� dpndittore ere aspected to charge such that Forward MAO be able ho accept conclaou are e"Mad W change such that Forward wdt ce atte to azmlr� the waste. ❑SLUDGE the waste ❑SLUDGE • REMARKS ❑NON FASBESTOSRIABLE • REMARKS ❑NCN FRUBLE FACILITY TICKET NUMBER FACILITY TICKET NUMBER ASBESTOS ❑WOOD ❑WOOD SIGNATURE OF/AUTHORIZED,AGENT JDATE SIGHATUREOVAUTHQA70AGENT DATE r _ ❑ASH 7 ❑ASH r' _ ❑OTHER } f ©OTHER SCHEDULING MUST BE MADE PRIOR TO 400 P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TG_A OO PM 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 TD SCHEDULE CALL(2091982-4298 MANIFESTO 54067 TO SCHEDULE CALL(29B)962 4298 MANIFEST• 54068 GENERATOR COPY GENERATOR COPY