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�� tt�w w tT� ww tttl•w� �w w � �� i �� ORWARD NON-HAZARDOUS WASTE MANIFEST o!l YY hLJ NONHAZARDOUS WASTE MANIFEST 1 N C O R P O R A T E A .-.�>- �114'CORPORATEV WASTE TRFATMEM AND QISPOSAL FACILITY YIfPSTE TREATMEM AND DISPOSAL FACILlfY _,.. JOB ACCEPTANCE NO. k � JOB ACCEPTANCE NO. JAMES L GSTON []GLOVES ❑GOGGLESpREWRATM ❑HARD HAT JAMES H- LANGSTON ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT - Z H N pTYVEK ❑OTHER �~ ❑TYVEK ❑OTHER P 0 BOX 97 SPECIAL F O bUA 97 _ SPECIAL.HANDLING PROCEDURES CNTV � ''PROGEDl1RES '� ,SATE CETV;SEA`fF� . LATHROP CA 95330 LATHROP, CA 95330 `wr- 209-957-5981 209-957-5981 CplitAGT_�E O {e�T: T17.: 91. =2 COAfDAe;T' ''�-r�-' k�,•_,--;�y_ J A"I H E I'R I C r S OI I JAfI-HENRICKSON = _ ww' i7 o - "PSTE TYPE , ___`RECEIVING FAqurr_c__. WASTE TYPE -__ t __ T i RECEIVINIG FALTLRY [I SLUDGE ❑ SLUDGE C] TREATMENT SOL ❑NON-FRIABLE AseEsrOs FORWARD INC LANDFILL ❑ '�nTMENT son. ❑"°"FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ DISPOSAL SOIL ❑WOOD 9999 SOUTH AUSTIN ROAD • ❑DfSPOSAL SOIL ❑ WOOD 0 CONSTRUCTION SOIL ❑ASH 9999 SOUTH AUSTIN ROAD MANTECA,CALIFORNIA 95338 0 CONSTRUCTION SOIL ASH OTHER �'k7iKr� lt' OTHER 2`01 w-e le- MANTECA,CALIFORNIA 95336 GENERATTNGFACIiJ'fY (209)982-4298 PHONE GENERATINGFACTLRY (209)982-4298 PHONE Ln`IG$Tn 1'C BAIT I rr L= (209)982-1009 FAX La'jri3TT1„'S 2h—T ° TACKhL '^ih Sr/f TSF 07 +cEir S'ctirt 'T}+ ST (209)982-1009 FAX LATHR00 i R L0HT,7P, CA NAME NOTES �c ,+d� TRUCK NUMBER NAME NOTES. TRUCK NUMBER ^,_CH HA I T L T o, , T"O r,I N G. =I-I' wA 1-LT9f4 T RUCK1116 ADDRESS -ADDRESS - :330 T IF atic �= 'DsfaL_ eE AS. Adc L"AE' _'$: CITY STATE ZIP CIT( (STATE ZIP e' +t -^-r' Y ` /v' PHONE12~:5T-. ,~5 I-. , END DUMP BOTTOM DUMP TRANSFER PHONE END DUMP BOTTOM DUMP TRANSFER •1 _' ' - ❑ ❑ ❑t 11 p MNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF($) FLAT BED VAN DRUMS SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS] FLAT BED VAN DRUMS * sf i 4 ❑ © ❑ ❑ ❑ ❑ ❑ ❑ FORWARD INC LANDFILL CUBIC YARDS / FORWARD INC LANDFILL CUBIC YARDS I Forward shall hers no Odl,pal,or,to accept the woes it weather or other Forward pall here no ahfgalawt to accept the waste d weather or other I. condasom wnpaw We sale and enecl,re Omposal d the waste Or d the waste DISpOSA,L METHOD (TO WCOMPLETED BY FORWARD) canee,ons mu dm safe and edeetne dmposat d the waste or a Ne wash wrgaws Ihe sale�to eltecbre no ly Od of the t413 vi FDrwa+d shay use [XSPOSE BIO JAEM-MIMC011 OTHER wr"n the ale and enerLrA operation of the LardfiN Forward"use DISPOSAL METHOD {TO BE COMPLETED BY FORVi4RD] maate to, e1lOrla to trrn rw d 9 r Dhsooser W pt lea w b accept the rassoruble etbris to promotb rotdr Dmpwar ol de aaDthy to accepl dee BID AERATE 9t C"2 OTHER waste la any region d Forward a r-am 1 m accept the waste t dune m ❑ waste for any mason.a Forward a rehmat 1D wcapl the waste is dried on weather d Other eea cprdeterm Forward et roNy dw p,a 9W when cele SOIL weather oe other sue cortde,om Forward shall notlty the Disposer when SU ❑SOIL the a Ste are swpected to Gml9e a„cn than Forward wee De abk 10 accept cond,bwe am expect etl 1v purge such that Forward will be able to accept 4 the waste El SLUDGE the waste ❑SLUDGE REMARKS HOW FRVSLE • REMARKS ©ASBESTOS ❑ ASBESTOS FACILITY TICKET NUMBER ❑WOOD FAGLITY TICKET NUMBER - �- ©yyOdp SIGNATURE OF AtJ1HORIZE{)�CENT DATE NATURE OF AUTHORIZED AGWr� DATE / `__�_� ❑ASH ASH OTHER SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SCHEDULINGJAUST BE MADE PRIOR TO 4 Q0 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��DAIYY BEFORE SUBJECT TO REFUSAL.UPON ARRIVAL ONGOING DAILY DELIVERIES FAUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE GALL(209)482-4298 MANIFEST• 5 4 U 82 TO SCHEDULE CALL{209)982-429a MANIFEST, 54081 GENERATOR COPY GENFRATOR COPY