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� ORWARD NON-HAZARDOUS WASTE MANIFEST MANIFEST � FORWARDNON-HAZARDOUSWASTE JxC O RP OR ATE D WWM TREATMENT AND DISPOSAL FACILITY I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILTTY JOB ACCEPTANCE NO. JOB ACCEPTMCE N0. IR 0A4WW0jm-= ma. ilm 'fJAMES H Lk;GSTON y ❑GLOVES ❑GOGGLES[]RESPIRATOR ❑HARD HAT I 1 r J61ULM ❑GLOVES ❑GOGGLES r]RESPIRATt]R ❑HARD HAT FA%d�l(id10pRES'S+ - ❑TY-VEK ©OTHER OTY-VEK []OTHER P 0 BOX 97 _ Cry,STATS LR-�� a 3Z= 1y-n: SPECIAL HANDLING PROCEDURES 3j � SPECIAL HANDLING PROCEDURES LATHROP, CA 45330 !A pea r Fzo Pf �t`:F n i _ aracs. i� PHONE;� ' 2D9-957-5981 f 2v°-95Z 54 � CONTACT PERSON«'r�j s:s��rF% � _ •••`-srr JAN lEPIRT {SO'I DQE r,r ! HE. 1MI Tu`z TATPRRECEMMf FACa[TYy VUy4TE _ ti -'-_ - RECEIVING FACILITY ©SLUDGE p SLUDGE p TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL [D TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL o DCoSPOSAL N , ,�SOL 0 W°D 9999 SOUTH AUSTIN ROAD " © DISPOSAL SOIL p WOOD 9999 SOUTH AUSTIN ROAD C] CONSTRUCTION solL ASH ©OTHER MANTECA, CALIFORNIA 95336 OTHER = - - - -=�- MANTECA,CALIFORNIA 95336 GENERATING FACILITY (209)982-4298 PHONE GENERATING FACILITY ,- (209)982-4298 PHONE L5 q;n'�r ;;IqT, T r,L- (209) � 982-1009 FAX - 5 - .�,_trF IT r �T (209)982-1009 FAX L iai;n:r ^,I 4535 -tn r, NAME NOTES,,4',e TRUCK NUMBER NOTES TRUCK NUMBER 7TC'i -IAoILTO-I T�l,r<T �G j ;,-i' NAME - �;F ,•f y 7= I .Lr.r r�'jC'_Ir C!C} r 7 L ADDRESS - ! ADDRESS y' aALLI IE A1'r L:ti�r - rr, '-1 r. •Cry STATE ZIP .CITY STATE 21P -)CCI 1. A �, PHONE END DUMP BOTTOM DUMP TRANSFER PHONE ' � END DUMP BOTTOM DUMP TRANSFER ❑ C3 ❑ , , SIGNATURE OF AUTHORIZED AGENT OR DRIVER JDATE ROLL-OFF(S) FLAT-BED VAN DRUMS 13 © ❑ � ❑ ❑ ❑ SIGNATURE OF AUTHORIZED/ .ENT OR DANER JDATE ROU-OFF(S) FLAT BED VAN DRUMS C,- FORWARD INC LANDFILL CUBIC YARDS CUBIC YARDS FORWARD INC LANDFILL Forward shall have no obhptrm tD accept the waste it weather or other concLdKm groan um"is and 01100 a deposal of the waste or a the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD Forward shall have no 4 effe on to accept tat he VAtir d war here other who hart rrt�p a the Cale and soparst deposal ot the wash a d um wastee anpprs the uM DIM ellectrw operation of are Landlal Forward elwa me B� 1AERAT1mwwu OTHER rmpWs the ate and Hftorw oprratron of the l.arrdhb Forward true use DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) reasormbY eflae to promptly nobly Disposer of as emhrety tp accept theusposE IMMINS OTHER waste for any reason d Forward a rehraal to accept the waste a based on waste M r"WLS W It FW b rd'S Deposer accept es a e war tD accept tM BIO AERAT£ weather or other ate Conddxxu Forward shah rainy am Deposer when ate ❑SOIL waste IDI airy reason d Forward's rward h lr dythe wear u board on aDrrdAmnn are expected to nitanDe much that Forward ml be able to accept weather or m& soe ca to char Forward snag rowdy the Deposit when are ©SOIL the waste ❑SLUDGE the waxrs are expected t0 thanW arch that Forward w=u be ante to eottpt � �� the waste ❑SLUDGE NON FRIABLE a REMARKS AS8E5705NON FRu&E FACILITY TICKET NUMBER ❑ASBESTOS ` ❑WOOD FACILITY TICKET NUMBER SGNATURet*AUTHdRI2ELLACTE� DATE ❑WOOD _-- � _ SIGMATURE�OF AUTHORI2ED�jEh�f I J�LTE ❑'45H ❑ASH {' +( [OTHER * �r i � 111 ['OTHER SCHEDULING MUST BE MADE PRIOR TO 4 OD 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 REFUSAL MADE PRIOR 7D GOI P M TNF DAY PRiOA TD T BE C HE ARRIVAL•ANY UNSCHEDULED LOADS ARE TO SCHEDULE CALL(2093 982 4288 MANIFEST 0 5 4 0 8 J TSU13JECT TO O SCHEDULE CALL 120982-4299 ONGOING GAILY DELIVERIES MUST BE SCHEDULED VYITH THE LANDFILL THE DAY BEFORE MANIFEST* 54090 GENERATORCOPY GENERATOR COPY