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1 I UKWA-IW- - NON-HAZARDOUS WAMMANIFEST FORWARD NON-HAZARDOUS WASTE MAMFEST I N C OrR P O R A T E D WASTE TREATMENT AND DISPOSAL FACILRY �. INCORPORATED WASTE TREATMENT AND DISPOSAL FACRITY r .JOB ACCEPTANCE NO. JOB ACCEPTANCE NO. r - JAMES M LANGSTOtJ ❑GLOVES ❑GOGGLES©RESP6iATOp ❑HAFiDHAT GENER „ ©TYVEK ❑OTFIER �_JA�1ES�.- ❑GLOVES LES RESPIRATOR HARD HAT P 0 BOX 97 M0._q_JNC�App t}, ❑TY-VEK ❑OTHER Cyff- sPECWLHMIDLINGPROCEIIUAEB P 0 Box g7 - - SPECIAL HANDLING PROCEDURES --LATHROO CA 95330 r�o333n mommmmumm mm 269-957-5981 ISHONE�:� - • COIfTACLPEA506t 209-957-59,1._ w JAI' HEMAI SO'1 . �"'�_" .., .. a F. ^".s'- SiGNA7[10 _HF�.M�'a� � n �14E 'SIGN _✓ 2 , y - - -- RECEIVING FACILITY . RECEIVING FACAM_ Q SLUDGE TREATMENT SOIL Q NON FRIABLE ASBESTOS FORWARD INC LANDFILL © SLUDGE • p DISPOSAL SOIL ❑WOOD ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL p CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD • © CONML sUcrON sols ASH ots ❑YNDOD 9999 SOUTH AUSTIN ROAD ❑OTHER T-c --'-- MANTECA,CALIFORNIA 95336 p caysTRIp ❑OTHER ,-�.d+lc MANTECA,CALIFORNIA 95336 GENERATING FACILITY (209)982-4298 PHONE GENERATING FACILITY (209)982-4298 PHONE -rT-�zf_ - - ' (209)982-1009 FAX : L '- l I. `I- T+CLE :q CIT; --T (209)982-1009 FAX NAME NOTES. � TRUCK NUMBER NAME NOTE& TRUCK NUMBER ADDRESS 1f �r') f T`e !'I' _O& Z{ (� <3� I,, ' =L T.I' T,IJ =iiG GC)( lIQ-L` -.—� .- y - = t',_ -'?7 - ADDRESS {v CRY STATE ZIP �1 --I'L_T _ L,Ap s l IL CITY STATE,ZIP PHONE END DUMP BOTTOM DUMP TRANSFER -_T), = - - - ❑ © ❑ PHONE END DUMP BOTTOM DUMP TRANSFER SIGN,04RE OF AUTHgNZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT BED VAN ORUMS 11 SIGNATURE D AGENT OR DRIVER DATE ROLL-OFFISI FIAT BED VAN DRUMS �C fL r / r r 1 11 ❑ 11 11 f .y ❑ © ❑ ❑ 14 FORWARD INC LANDFILL 666C YAWS l CUBIC YARDS I Forward shat have no otdgmon accept Ulm waste a weatrier or other FORWARD INC LANDFILLt �� coadaron,rnom the sale and enactive disposal of unit,waste or a The waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) anpan the Tate w4 offecm Operation of the Wrndhll Forward shaa use Forward wig have no oUgation to accept the waste d weather or otter a reasonable efforts to prornplly notify D,sposer ol as enatAty 10 accept the DISPOSI 80 JAERATEJIICI Pal OTRER Condition Brow the We and eneOrve disposal of the waste or due waste DISPOSAL METHO (TO BE COMPLETED BY FORWARD) waste for wry reason If Forward s refusal m accept the waste is based on ❑SOIL wripanrs pie safe and effective operation of the L"fii! Forward shat we witader a other ata COnddidm Forward slue noldy the Disposer when site nasauda Offprte to panDily ndtsry Duoosa d n1s whWy m accept the BIO AERATE SiOGWIE OTHER CMditran are expected torlutge such Taal Forward wig be able m accept waste stir any mason.If Forward s refusal m accept the waste n based an the waste ❑SLUDGE weather or otter art*cadabns.Forward step t o*ue Dnsposw when ads [I SOIL CoMns droare expected to Charge euGn that Forward mg be able to accept REMARKS Ve waste NON FRWBIE REMARKS ©SLUDGE ASBESTOS TICKET NUMBER p ©NON-FRKSLE C]WOOD FACILITY TICKET NUMBER ASBESTOS SIGNATt7RE'OP AUTHORIZED AGENT_,I j I DATE SIGNATURE OF AUTHOWZED _ OATS ❑WDOD , * �-- - � - (3ASH E t THER DZTHERI� SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE S(,4tE0UU,tc QUM 8£MKII.PRIOR10 400 P M THE DAY PRIOR TO EXPECTEO ARRIVAL•ANY UNSCHEDULED LOADS ARE Ta SCHEDULE CALL(299)982 4298 MANIFEST. 54 092 SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED wMi THE LANDFILL THEDAY BEFORE TO SCHEDULE CALL 1209)982-4299 MANIFEST r 54091 , GENERATORCOPY RFYFOaTnq(`,nW