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- - - - - - iFORWARD NON-HAZARDOUS WASTE MANIFEST y WARD NON-HAZARDOUS WASTE MANIFEST INCORPORATED WASTE TREATMENT AND DISPOSAL PAY INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. FOR JOB ACCEPTANCE N0. cMH — aao2auamamm SIM []GLOVES ❑coGGIJS❑ResP{RATOR []HARDHAT REQL1W DEQUIPMENT IES $ mm pTYVEK ❑OTHER []GLOVES 0GOGGLES❑RESPIRATOR ❑HARD HAT P O 80) 97 J A,E S It LAN1519 f .r— t r� ❑TY VEK []OTHER 'v�+ w SPECIAL FUWDLWG PROCEDURES RAAfl11VG#OEJi3ESS_��s r ..�,__.. ..��..-.:. ••. ��.r-..� y y /YTV 4 [� EQ �°aa - -�•^�. �,��. _- ..F.�.-..�..--- SPECIAL..HANDLING PROCEDURES p�y'y� -Z�HR O P_4 7 CA 9 53 30 -r�TC4 it Mi.� � �...`.�—./.�.---._...>.t iL ..��c ,t-v, '1 ' I�TH�''2c) -C a.;4{�=i��ti_ � '",ycr".r� - 209-n57-54e] rT COI+�yERSON_ T DAGJWT I TTRE DATE — E _ RECENWG FAC8ITY RECEMNGFACIIITY ❑ SLUDGE FORWARD INC LANDFILL ❑ ❑ TREATMENT SOL NON FRIABLE ASBESTOS SLUDGE FORWARD INC LANDFILL • ❑ DISPOSAL SOIL ❑WOOD 9999 SOUTH AUSTIN ROAD ❑TREATMENT SOIL ❑NON FRIABLE ASBESTOS © CONSTRUCTION SOIL ❑ ASH ❑MPOSAL SOL ❑MOOD 9999 SOUTH AUSTIN ROAD [a OTHER ST o:_c MANTECA,CALIFORNIA 95336 p CONSTRUCTION SOIL ❑ ASH [3OTHER =T MANTECA,CALIFORNIA 95336 • GENE RATINGFACILITY (209)982-4298 PHONE LA'1ZT,. AAI T ° -`L= 209)982-1009 FAX • GENERATNGFACILITY (209)982-4298 PHONE 156.- ' T ;T -rI ,T -t^ _ (209)982-1009 FAX l-'Ty "' ` ,5 c S:i= r LZ r NOTES TRUCK NUMBER ' I TI'v:ft, NAME NAME NOTES, TRUCK NUMBER ADDRESS L^ r L ADDRESS V .CITY STATE ZIP T .CITY, ELITE ZIP r - - PHONE END DUMP BOTTOM DUMP TRANSFER t ,ficST�r f corp J` . r I'-- - _ i ❑ ❑ PHONE SIGNATURE DUMP BOTTOM DUMP TRANSFER SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT BED VAN DRUMS SIGNATURE OF AUTTHORIzED AGENT OR DRIVER E ROLL(S) FLAT-BED DRUMS DATVAN * l r 7 CUBIC YARDS FORWARD INC LANDFILL FORWARD INC LANDFILL CUBIC YARDS Forward chap nave no PweHeCLn to speweot the waste d weather a dwe oISPOSAL METHOD' (TO BE COMPLETED BY FORMAD) � � eaddrpret eripa+the sale and eHe[live distwsal of the waste or A a1r waste m paea the sale and etfedsve operation of the Undtdl Forward Shed use SporsE BID AERATE OTHER Forward afros haw no eppetion to accept the waste it weatlW Or other reasonahle eftOrlS to promptly nddy prsposer ori ds naWny 10 accept the cprdrtnrm arpau the aafe ane eTleGtrve dsWsel d the waste a d the wane DISPOSAL METHOD' {TO BE COMPLETED BY F9R4+dARD) waste la awy reason u Forward s relusat to aael t the wnste v Hated m nx*n the safe and eHetxrva cmatwn of the t�rldldL Forward ahaa use m AERATE OTHER weather or other site co ddrone Fwward Shan notdy the Oespaaer when Otte to rsAsonable efWrta to prmplly rotdy RapOsor of ms ata6ady to accept the conations are espeeted to charge ouch that Forward will be aLta to accept ❑SLUDGE waste tv MH reasdw It Fuwvtd a rdusal ro accept the waste LS based on uv waste weatMr or attw we cortdNiertc.Forward shad not the Otspwer wfiM site ❑ � ` REMARKS co drian an a+wected to olrrge arch that Forward r,+a oe able ro acud ❑SLUDGE c3 NON FR ABLE 8w wasU __ • REMARKS - FACILITY TICKET NUMBERNDN-FRLABLE ❑WOOD _ ©ASBESTOS ?f� • FACILIDI-i ET NUMBER- - -a» ❑WOOD SIGNATURE Of �OR¢EP AGEN DATE ©ASH SIGNAPAE OF AUTHORIUM J DATE — * r✓_ _�` _ rr ❑OTHER ❑ASH _ �— r��= �3HE 0 ER SCHEDULING MUST 8E MADE PRIOR 70 4 00 P M THE DAY PRIG q TO EXPf:CTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED wITH THE LANDFILL 55509 RE SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE TO SCHEDULE CALL(208)982 4290 MANIFEST• SU JECTO REFUSAL {UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE D Y BEFORE GENERATOR COPY SCHEDULE C MANIFEST k J 5 J V O