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4 FORWARD ANON-HAZARDOUS WASTE MANIFEST �RWARD NON-HAZARDOUS WASTE MANIFEST INCORPORATED ATE TREATMENT AND DISPOSAL FACILITY WASTE TREATMENT"DISPOSAL FACILITY JOB ACCEPTANCE NO. , INCORPOAA7ED JOB ACCEPTANCE NO. =4 LANGSTON "r l (]GLOVES ❑GOGGLES❑RESPIRATOR pW4RDHAT � � µ� []GLOVES ❑GOGGLES❑RESPIRATOR ❑HARDHAT j -~ ❑TYVEK ❑OTHER - Jp'+ ©TY--VEK ❑OTHER P 3 BOX 97 y. �£ w* ,rr }y^ SPECIAL NANDUNG PROCEDURES IP0�3 �26 97SPECIAL HANDLING PROCEDURES LATWROP, CA 0533P ' L47-CROP SCA 95330 PHONE ^- 2Gc-n';7-599 _ -- CONRpGTPEFiSOPI 70G-c'57-5921 ry JrTI HPiIPIC:50I1 1009J -�--+--r jA'l rlE?'RTS i! SIGNATI>f AGENT./TITLE"^ DATE - // � 9 SIGNATURE OF A !RTLE a DATE' *-;,' ' - RECEMNG FACILITY ,_ RECEIVING FACflJ1'Y ❑ SLUDGE ❑ TREATMENT SOIL p NON-FRIABLE ASBESTOS FORWARD INC LANDFILL ❑SLUDGE • ❑DISPOSAL SOIL ❑WOOD ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL C]CONSTRUcnoN SOL p ASH 9999 SOUTH AUSTIN ROAD p DISPOSAL SOIL ❑WOOD 9999 SOUTH AUSTIN ROAD ❑ OTHER -T-C MANTECA,CALIFORNIA 95336 ❑CONSTRUCTION SOIL ❑OTHER =T-�,a.-_ 0 MANTECA,CALIFORNIA 95336 GENERATING FACILITY (209)982-4298 PHONE GENERATING FACILITY (249)982-4298 PHONE (209)982-1009 FAX y -- (209)982-1009 FAX .'_ Q -3, T cf NAME NOTES 7 TRUCK NUMBER - , -- 41+n-,rs i TTI;CYI'- 4��c = NAME NOTES TRUCK NUMBER ADDRESS ,_'✓i�� T"L'C.I'1 1 39 7 C 3 - ') L = ADDRESS vv . CITY STATE,ZIP - � ' "_ - _ _ CITY STATE ZIP r v Nsr / PHONE r END DUMP BOTTOM DUMP TRANSFER ❑ ❑ ❑ PHONE END DUMP BOTTOM DUMP TRANSFER SIGNATURE OF AUTHORIZED AGENT DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS .` - ❑ ❑ ❑ © ❑ ❑ © SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS FORWARD INC LANDFILL CUBIC YARDS f,! FORWARD INC LANDFILL CUBIC Yam Forward Wall ham no oCYpalron to accept the wawa d weather Of alta 1J I T cadatora.rear the safe and etfectrxe disposal of tete waste of d the waste DISPOSAL METHOOr (TD BE COMPLETED BY FORV"D) Forward shag haW no otaganon to accept the waste d weather of other �- w Mars the safe and effertwe operaWn o1 the Landfill Forwwo stat ase condttrors npW me sale and eff a"damsel a the waste or s ft was* pl'J.pO$AL,METHOp (TO BE COMPLETED BY FORWARD) reasarsble ehorta to wwrwv rnhty Dssar pod w Inanday to WCW the 810 JAERATE StocKvae OTHER ,rrpa,rs the safe a%aflaetwe operal ort of an the Ldha Forward shall use waste for any reason M Forwards reload =accept Ire waste a Cased on reasonable~s to prprnptly rtady DuDoser d es nadLty to acceel the BIO JAERATE =j"ll OTHER weather or~ase conddrors,Forward shall notay the Dclower when able ©SOIL waste for any reason ff Forward a retrial to accept the waste hs based m oorcpt*m art expected t0 Charge such that Forward wdl be able to accept weather or other ada cortdarom Forward tthaa noldy Na Disposer when sae p SOIL SLUDGE corddhons are axwted to durge such that FCrward wa1 to Able to accept the waste • the waste ❑SLUDGE REMARKS p NON-FFIPWASBESTOS 1 • REMARKS NON FRUBiE FACILITY TICKET NUMBER [i ASBESTOS ❑ WOODj FAOILlTY ncKET NUMBER SIGNATURE OF AUTHORIZED AGENj— JDATE ❑WOOD pASFt SIGN4a19EpF�1THORIiED/4caEDLF-1 DATE S _ � _� ASH OTHER '"^1 ❑OTHER * ,� THER SCHEDULING MUST BE MADE PRIOR TO 4-00 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 SCHEDULING MUST BE MADE PRIOR TO 41OO P M THE DAY PRIOR TO EXPECTED ARRIVAL w ANY UNSCHEDULED LOADS ARE TC SCHEDULE CALL t2001962 4298 MANIFEST he 54085 SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST OE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)982-4298 MANIFEST• 54086 GENEIVLTOR COPY GENERATOR CO"