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- - - , 'FORWARD NON-HAZARDOUS WASTE MANIFEST FORWARD NON-HAZARDOUS WASTE MANIFEST , INCORPORATED , ANT ANT,DIFACILITY INCORPORATED ]HASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE N0. JOB ACCEPTANCE NO. cnM— 4402 -�- AME LA G57 N ❑� S []GOGGLES[]RESPIRATOR ❑HARD HAT GENERATOR _ REOL9REBPERSONALPROTECTIVE EQUIPMENT ❑TYVEK (]OTHER JA :ES f- LAiIGSTON ❑GLovEs ❑GOGGLESDRESPIRATOR ❑HARD HAT P 0_80X 97 MAILING ADDRESS _ _ _ � '_ _ CITY-VEK ❑OTHER SPECIAL HANDLING PROCEDURES a 0 B O Y 9 7 SPECIAL HANDLING PROCEDURES L AT H R O P CA 95330 CITY STATE,ZIP *v P • Lr Ir-11D 0 C= f�j;3q. Y 209-957-5981 PHONE �rir_yr;�_5�.u1 JAN 4-H r'KSOp OONP=PERSON _ SIGNATORYO p�, ORjiNT/TTTLE DATE RECEIWtITY dGFAC ..-4"S'.L_.,. :. REcoma me my ❑ SLUDGE ❑ TREATMENT SOL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑SLUDGE"" ' ❑04SPOSAL SOIL ❑❑WOOD 9999 SOUTH AUSTIN ROAD ❑TREATMENT SOIL p NON FRIABLE ASBESTOS FORWARD INC LANDFILL p CONSTRUCTION SOL ❑ ASH ❑DISPOSAL Scx ❑ 'O0 9999 SOUTH AUSTIN ROAD OTHER ST^C'OILE MANTECA,CALIFORNIA 95336 ❑CONSTRUCTION SOtL E)ASH - ❑OTHER -- MANTECA,CALIFORNIA 95336 GENERAMNGFACtM (209)982-4298 PHONE • L, 'CST. .rr' IAIT 7 TAC,L` GENERATING FACILITY (209)982-4298 PHONE ]5S=_5 VE T"' (209)982.1009 FAX ,,,,tb r t C I r5 IRI-! I,C LE La-;,�t�:, ' Z Cr T� c-` (209)982-1009 FAX NAME NOTES TRUCK NUMBER aICLI HAVILT^"' TRUCKI"Ir, NAME NOTES TRUCK NUMBER ADDRESS _,Tr}O TFLv -I'i `JL3� � p�� 133^ 0AUL=" „%/E L9 ADDRESS _ CITY SUTE ZIP .CITY STATE LP r C E h V E y� - PHONE END DUMP BOTTOM DUMP TRANSFER V 1- S'� �� _ �._ r 1{�s ❑ ❑ PHONE END DUMP BOTTOM DUMP TRANSFER SIGNATURE OFAUTHORIZED AGENT OR DRNER DATE ROLL-OFF(S) FLAT-BED WAN DRUMS 20--`7C-4700 In ❑ ❑ ❑ ❑ ❑ ❑ SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS? FLAT-SED VAN DRUMS * s ❑ ❑ ❑ ❑ * - kms 9 S FORWARD INC LANDFILL ' CUBIC YARDS Forward shwa hm ro aexpsl�m accept itre waste d weather or other FORWARD INC LANDFILL cordaions wrowr the sane aro artectre dapdsat d d,e waste or a aw wwe DISPOSAL METHOD fTO BE COMPLETED BY FORWARD] FdvreM aruS have ro oblpalgn to acted the waste N weellxr or other VNAWS the sate and efteetr a oWzbon d the landfill Forward slag use W JAERATEIMWftE OTHER L'orlddrorts anpar/Ihre taFa and aMsGne dapoaW d tly waste Or a the waste reasOnabta a"_.to prdrrpftp notify Drspoear d tis arabiaiY m acceat are arcaas on ash ted sale fled" r d the Landl v*w Forward t* % DISPOSAL METHOLF (TO BE COMPLETED BY FORWARD) waste for any reason Y Forward a rsk"m aocepi rhe waste a based on reasonable aTbrta m ProdndY naUfy Drsoaaa d as Irwd4ly as aceep the BIO AERATE sroualts OTHER wealirer u drwr sae condrturn Forward alias rAotrFY die Asposer when die ❑SOIL waste for airy roawn M Forward s ret mal m accept ttra waste o based on conditions Ira eaperaed to er s Va etrh that Fuward-9 be able m accept weather or char sae unwtoW forward shag notay the Disposer wi'm me ❑SOIL • the waste ❑SLUDGE oenddpna are expected M dwnpe srrh OW Forward will be able to aecept REMARKS ti0ihi FRAMItte "a ©SLUDGE ❑ASgE5TOS • SKS _ - _ ❑NO-FRIABLE FACILITY TICKET NUMBER ASBESTOS ❑WOOD FACILITY TICK NUMBER , _ © D SIGNATyJ&OF AUTHORIZE�3 AGENT - DATE ❑ASH F AUTHO ENT DATE- f I - ASH * / - THER Q SCHEDULINGMUST 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 WTH THE LANDFILL THE DAY BEFORE SCHEDUU MUST BE MADE T+,RTOR TO 4x10 PJA THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE TO SCHEDULE CALL(209(082 4298 MAMFEST s 55 515 SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED wTTH THE LANDFILL THE DAY BEFORE GENERATOR COPY 1 TO SCHEDULE CALL(209)982-4298 MANIFEST 1 55514