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O,, RWARD NON-HAZARDOUS WASTE MANIFEST FORWARDO R P O R A T E D VdWrE TREATMENT AND DISPOSAL.FACILITY NONHAZARDOUS WASTE MANIFEST I JOB ACCEPTANCE NO. INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY _ JOB ACCEPTANCE NO. CMM `- 4402 JAMES M AN STON 'LOWS ❑GOGGLES[]RESPIRAFOR ❑HARD HAT GENERATOR_ _ _ _ a . RECIUIREpPERSOtiALPRClTEGTTVEEOIAPMENT _ ❑TYVEK ❑OTHER IFHcS I LAIIOSTON r. ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARDHA7 P 0 BOX 97 SPECIAL HANDLING PROCEDURES I M►JL>TIGADDRESS, ;—„r- - w=�:} �'.ti - ❑TYVEK ©OTHER P 0 9") 97 p� - SPECIAL HANDLING PROCEDURES j • LATHRDP CA 95330 CITYSDLTE,.kF `mom _ ._ • LArHPr)P,_CR 953'I0_ � T .,wRr _ 209-9547-5981 PHa t-.d. ___ A _::Zs.�z —.w. JAN HENR?CK54II __ COTIL4L'IPEFTSON -- '"- S�ONdQURE'' r ,kA" VEIP51.m SCI' /� Slpfl%r ! /TITLE1 DATE RECEIVING FACILITY ❑ SLUDGE FORWARD INC LANDFILL p SLUDGE ❑TREATMENT SOIL ❑ WOODNON- 9999 WBLE ASBESTOS SOUTH AUSTIN ROAD ❑ TREATMENT SOIL ©NON FRIABLE ASBESTOS FORWARD INC LANDFILL 0 DONOR sO� ❑ E]DISPOSAL SOIL ©WOOD 9999 SOUTH AUSTIN ROAD p coNSTRUcnON spa. ❑ ASH SH [2cOYHER ST0C,"-L= MANTECA,CALIFORNIA 95336 pCONSTRUCTION SO4L AASH e GENERATING FACILITY (209) 982-4298 PHONE ©OTHER -T MANTECA,CALIFORNIA 95336 L3 i-,-,T,- :S. :ITT , TAG—LE • GENERATING FACILITY (209)982-4298 PHONE 19r._ C;:1,- �- �� (209)982-1009 FAX ^T Ia I S Br*T C T1^ LE h a?^s$; - 2Elsi T T (209)982-1009 FAX NAME NOTES. TRUCK NUMBER ilCo IIA 'fL I LII TSUC41,Vi NAME NOTES TRUCK NUMBER ADDRESS ' C r_) 1,1 'It ILTOO pq 1-3, ]r :, I� A";: Lq1 o - 191 ADDRESS Q� 31 :LI r 991) .CITY STATE ZIP -LI/✓ / .CITY STATE ZIP y 5a.R8 • PHONE END DUMP BOTTOM DUMP TRANSFER r, 1 _-7 -_ ❑ ❑ ❑ PHONE END DUMP BOTTOM DUMP TRANSFER SIGNATURE OF AUTHORIZED AGENT OR DRIVER JDATE ROLL-OFF{S) "-BED VAN DRUMS Z r_c 7 -L 3 T!^ ID ❑ ❑ _ 111:1 ❑ ❑ SIGNATURE OF AUNT AUTHORIZED AGEOR DRIVER DATE q ROLL-OFFISI FLAT BED VAN DRUMS FORWARD INC LANDFILL CUBIC YARDS r Forward ahaa nave no OblIoUoh to accept the waste d weather or FORWARD INC LANDFILL �'[YARDS coWdom anpae the safe and alte w dtsPosat of de waste a f the waste DISPOSAL METHOR BE COMPLETED BY FORWARD) For.w stall nava no odgahon to accept the wasle d weather a Ottw a pass the&tote ate ettactwe oWat+on ol the a Forrwaard�Shell� t3i0 AERATE smapu OTHER co dmau mpae the&ala and aMectne drspoaal of me waste a,s the waste DFSFDSAL METFtOD (TO BE COMPLETED BY FORA ARD) hsasonable efbns 10 prxtpthy nootdY DrsPoaat - anpaes the aele and Beech"operauDn or the LandIA Forward Thea use waste for any neaps p Fawani a relvaat W accept the waste a based m BIO AERATE OTHER weather a other sde coed"a Forward etas notdy the Depow when We ❑SOIL waste W efforts m prprptly r s K Aspoo c es e e waste to accept tM waste to any resat p Forwards retuset b accept the waste a,based an conmwe era expected b charge such Mel Forward wO be able to accept weather a other sae condetons Forward atee moldy the Drsposer when site SOIL the waste. ❑SLUDGE corddtona are expected to charge such that FOrward will be abk 10 accept • the waste r ❑SLUDGE REMARKS NDN FRIABLE • _ - ;- --- ❑ASBESTOS REMARKS _ _�- F CILITY TICKET NUMBER ❑WOOD ❑ASBESTNON OS FACILITY TICKET NUMBER -M ❑moo SIGNATURE O0IFTHORIYfD AZa DATE y ❑ASH SIGNATUgEQEAUTHORIZED AGENT DATE - ©OTHER _ S �fC ©ASH 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 SCHEDULING MUST BE MA_D_E' Fl TO 4 I__p m-'rHE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE TO SCHEDULE CALL(209)942-4298 MANIFEST N 55510 SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THEDAY BEFORE TO SCHEDULE CALL{209)082 4298 MANIFEST• 55511 GENERATOR COPY