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FORWARD NON-HAZARDOUS WASTE MANIFEST FORWARDNON-HAZARDOUS WASTE MANIFEST INCORPORATED WASTE TREATMENT AND DISPOSAL FAMJTY I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILfTY � JOB ACCEPTANCE NO. JOB ACCEPTANCE NO. Doff— 4402 -- REQ f ❑RESPIRATOR [}HARp HAT JARES N LAHI)STON ❑GLOVES ❑GOGGLES GENERATOR RE)WOMPERSONALPROTECTNEEQUIPMENT !' G ❑TY VEK []OTHER❑GLOVES ❑GOGGLES❑RESF5R4TOR []HARDHAT ?-0_ BOX 97 JOAN YJC ADDRESS4 r _ ❑ SPECIAL HANDLING PROCEDURES OTHER �,� ❑TYVEK s SPECIAL HANDUNG PROCEDURES -LATdROP, CA 95330 PTYSATE •'^.4_ . �, � s aw�..� PH_. • LATN�1P 95330 _ _� _ 509-957-5981 r JAN HE If} oDNu, m- 4oT1 IFI nEll 1S " ENT TI Op -. . M� SIGNATURE / RE DATE �� RECEMNGFACIt)TY RECENING FACdM ❑ SLUDGE ❑ TREATMENT SOIL ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑TREATMENT SM ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ' ❑ DISPOSAL SOIL ❑'MOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL �OTHER S+nr Lc ❑ ASH DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD MANTECA,CALIFORNIA 95336 []CONSTRUGfI W SOIL ❑ ASH ❑OTHER - -_- MANTECA, CALIFORNIA 95336 GENERATING FACILITY (209) 982-4298 PHONE • GENERATMIllACILITY (209)982-4298 PHONE _- ' r - ,; ,`-_ (209)982-1009 FAX 'r°``' '`TT ` - (209)982-1009 FAX r_ T- T-I- F,q -A NAME NOTES TRUCK NUMBER NAME �NOTEgp. a rs TRUCK NUMBER ADDRESS ^ 'ILTSTI T Ve_ a"? = �� 3 1 j � f 1. Lr - '. r_T'i T?iJC ii /r� / C .r�4i1 _'-) WOLT_ C,'� _ -• T = r =^ / . STAZIP ADDRESSCITY TE(/ c i�_ v n/F'I C . CITY STATE ZIP PHONE END DUMP BOTTOM DUMP TRANSFER Tl 7 111 D j PHONE END DUMP BOTTOM DUMP TRANSFER SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(Si FLAT BED VAN DRUMS ^78-5101 Q, 1:1 1:1 ❑ ❑ ❑ ❑ SIGNATURE OF AUTHORIZED AG DRIVER DATE RML-34F(S) FLAT-BED VAN DRUMS JO 95- ❑ ❑ ❑ ❑ * cualc Wos FORWARD INC LANDFILL FORWARD INC LANDFILL CUBIC YARDS Forwmd shall hale obhpahon m accept the waste d weamer a other m corddprn unpae the ante and tmectrm ommsat of the waste or d the waste DISPOSAL METHOD {TO BE COMPLETED BY FORWARD) Forward shall have no oospellon to accept VMS waste d reamer or other mpa'ra the sats and affective operator d the Landhl Forward otos use DISPOSE 610 AERATE IMCKFILE OTHER coram orr mWff the ash aro effective dmPosat d dw waste Or d the wash DISPOSAL METHOD' {TO BE COMPLETED BY FORYIi4AD1 reasonable almrta m Vanplly r"dr Deposer a ds WWAty to b=w me , mpaaa me sate am attxtrva operator of the Landfill.Forw'sid thea wa _ glp AERATE OTHER waste For ary reason d Forward s raluwl m accept the waste w 1)asad an i reasautla efforts to proerpoy nc*Wpoaer of hs Irwbddy m scorn the _ _ weather or~site carda"m Forward shad notdy Iia Dupdaar wrwn sde ❑ L wash for ary raison.p Forward a glLsal m accept Ihe wast!n based ott cordd)on are especiad to charge such that Forward wt*oe ebb fo soclPt wwather or other ode cordovan Forward shad notify the DtsPoeer when able the waste ❑SLUDGE cerddvw are a�ectad m dwge such tial Forward wIB be able m eccap _ the waste -- _ ❑SLUDGE REMARKS ❑ASSE510S� • REMARKS _ ti - M .z NINI FRSE FACtiJTY T, KET NUMBER __ ❑may- ❑WOOD FACBITY TICICE7�NUMBER„ r - _ SIGNATURE OF GIJTHORIZEkT AGENT WOOD ASH I ' F r /AGENT ❑ASH * rr L " c --f ❑OTHER ' i t ❑OTHER SCHEDULING MUST BE MADE PRIOR TO 400 PAA THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE • SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DEUVERIES MUST BE SCHEDULED WITH THE LANDFILL DAY Bl= RE SGHEDULtNG TRUST BE MADE PRIORITO 400 P.M THE DAY PRIOR t0 EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE TO SCHEDULE CALL 1213919132 4208 MANIFEST- 54100 SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TD SCHEDULE CALL(209)882-4288 MANIFEST• J V 7 GENERATOR COPY