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�RVLTARD NONHAZARDOUS WASTE MANIFEST FORWARD NON-HAZARDOUS WASTE MANIFEST y f N C O R P O R A 7 E D WASTE TREATMENT AND DISPOSAL FACILITY el INCORPORATED WASTE TREATMENT AND DISPOSAL FACkM JOB ACCEPTANCE NO. JOE ACCEPTANCE NO. 5 r Rw ❑GLOVES ❑GOGGLESQRESPIRATOR ❑HARD HAT ❑ ! JA��S K A ST GLOVES ❑GOGGLES RESPIRATOR OHARD HAT ❑TYVEK ❑OTHER ❑TYVEK ❑OTHER �i SPECILL HANDLING PROCEDURES s,-- 7 SPECIAL HANDLItJG PROCEDURES a42 G 93 LATHROP CA 95330 p DONE$" ` 209-957-59$1 �_ l RI_HEI kzcx 0 _ _ JAI' HE I&3�Y,SOIYJi' -- _ ,s. SIGNATURE ✓, .= i%,� �r .ate �� .-�, _ _ s RECENM FAGISI'IC-., _ RECEIVING FACLLITY, __ ❑ SLUDGE ❑ SLUE ❑TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL © DISPOSAL soy ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ DISPOSAL SOIL 0 WOOD 9999 SOUTH AUSTIN ROAD ❑CONSTRUCTION SOIL ❑ASH p CONSTRUCTION SOIL ❑ ASH p OTHER ST,.r'01LE MANTECA,CALIFORNIA 95336 ❑OTHER ,T C,�, r MANTECA,CALIFORNIA 95336 GENERATINGFACILTT'Y (209)982-4298 PHONE GENERATING FACILITY (209)982-4298 PHONE LA'IGST, I'r CAuIT ° TACILc I_I I, 5T" ''� 3 -T -Iry c 1�, " SFIZIT-' Ci- (209)982-1009 FAX SEVEIT , ST (209)982-1009 FAX L,T-d,lo, LAT R�rD r NAME NOTES TRUCK NUMBER NAME y NOTES- _ - TRUCK NUMBER rlr,- ash I!T64 TZ"I: ADDRESS ADDRESS 1Z�; 04JLT IE A f, L^�n 12-1, -1s11L, .CRY STATE;21P . CITY STATE ,ZIP PHONE END DUMP BOTTOM DUMP TRANSFER PHONE END DUMP BOTTOM DUMP TRANSFER 2n'--" n ❑ ❑ - iU-- .0 ❑ ❑ ❑ SIGNATURE OF AUTHORIZED AGGJNT OR DRNER DATE ROLL-OFFS► FLAT BED VAN DRUMS SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-0FFISI FLAT BED VAN DRUMS FORWARD INC LANDFILL CUBIC YARDSJT, FORWARD INC LANDFILL CUBIC YARDS `F3 Forward"I haw m obbgat*n to&=Dl da waste a weather or other Forward sfaa have no odigation to accept pe waste a wesitter or other cardm"Lmw the safe and effectrw dm0W d"waste or II the waste DISPOSAL METHOD- (TO BE COMPLETED BY FORYtGLRD1 ctxiatiorls aripav the sale and ahectrw disposal oI the waste a A the waste DLSpOSAL METHOD (TO 8E COMPLETED BY FORIr1d4RD► nems the ute pd eflecuw operation d the LandfiL Forward thtA use OTHER rirpus the sale and eflecl w operation of the LmW A Forwardshad u a SpgSE B10 IRATE OTHER reasorade efforts to wornashptly rly Disposerd es eabrWy 10 aeo900W the JAERATEIMCKPILEreasonable efforts 1a prarnptiy rtdrty Disposer of es nabtly b accaW the DII waste for ary a mm it Forward s rehjsa!to moupt the waste is based an waste w any reason X Forwards(el" to sccept the waste is based an weather or other see con ions.Forward shag notify Iia Disposer when pte ©SOIL had weather or other site Conditions Forward snotify the Disposer when spa ❑SOIL ccndaiorrs aro expected to change such that Forward wag be A*10 ecC90 cord tots are expected w change such that Forward wnY be ade to ACCeW the waste ❑SLUDGE the waste 0 SLUDGE w REMARKS ❑nOra FRIABLE + REMARKS ©NON FRIABLE ASBESTOS ASBESTOS FACILITY TICKET NUMBER FACILITY TICKET NUMBER ❑ ❑wow -- Va00D SIGNATURE OF-AUTHORIZEDAGEHT�1t DATE © SISMaCIRE9FAUTHORIZED-AGEFff 5-1 DATE _ ASH _ ❑ASH OTHER J� - 5- r- f ' ©OTHER SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL AUNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE NY SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL.THE DAY BEFORE TO SCHEDULE CALL(2991082 4296 MANIFEST- 55506 TO SCHEDULE CALL(209)982 4296 MANIFEST, 55507 GENERATOR COPY GENERATOR COPY