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Elm* — - _ - - — FORWARD NON-HAZARDOUS WASTE MANIFEST // FORWARD NON-HAZARDOUS WASTE MANIFEST 114.60 R P O R A T E D WASTE TREATMENT AND D,sPOSAL FACILITY INCORPORATED WASH TREATMENT AND DISPOSAL FACILITY — JOB ACCEPTANCE N0. JOB ACCEPTANCE NO. CMM-_— 4"4402 JANf5M LANGST6H ❑GLOVES ❑GOGGLES❑RESPIRIITDR ❑HARD HAT GENERATOf_i_�,,,.,_,a - REQUMP01SOIJALPNOTECMEEaLAPMH+R r ❑TYVEK ❑OTHER o0EF ] lAt' 5TON_ - []GLOVES []GOGGLES[]RESPIRATOR ❑HARD HAT P 0 BOX 97 boll EI ADOgEySS_s,,. _ ,� �.�t ❑TYVEK []OTHER + SPECIAL HANDLING PROCEDURES w o a BOj-„47 , r.; , - SPECIAL HANDLING PROCEDURES LATHRUP CA 95330 _ LATH PA 93I K 209-957-X5-9781 20`:-p57-598�1� JAp HEtJR KB9Ft tiC1hII7LCF R50fs t2 ii £�._.FiXMkn waL i -'.0,'I ^ SIC3lViTL1 DF TITLE;. 3 DATE T URE Y TITLE DATE/ 7k ✓/ _ � .� ..�� j� � � _• , - __.. - RECEIVING FACY.fiY_. RECENiNG FATALITY Q SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARDING LANDFILL ❑SLUDGE ❑ DISPOSAL SOIL ❑ WOOD ❑TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD EYOTHER STC{' D'L° MANTECA,CALIFORNIA 95336 ❑CONSTRUCTION SOIL ❑ ASH • ❑OTHER C "LE MANTECA,CALIFORNIA 95336 GENERATING FACILITY (209) 982-4298 PHONE • t ' STor1r5 T:XLl,EE T-- (209)982-1009 FAX GENERATING FACILITY (209)982-4298 PHONE -5-1. SEVTR �T �TupOa C; +TT ,F r T!r' L- I 982-1009 FAX ' I-VF T,. -F T�� . (209r) , TRUCK NUMBER "t NAME - RI"LI HAItiLTO ' TRL'C� ��r•TI,� NAME NOTES, TRUCK NUMBER ADDRESS 93c PILUEt aVc, Jnr Ira ADDRESS 7- '� I �� ` ~ .CITY STATE ZIP c �FLILtr E p,r_ L^Rn w 1`7 . LSTI, CA 85S <<- .CITY STATE.ZIP --. PHONE END OILMP BOTTOM DUMP TRANSFER L°—F ``.� �- r to ,. __1._}_ 1 ❑ ❑ ❑ • PHONE ' END DUMP BOTTOM DUMP TRANSFER SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FIAT-BED VAN DRUMS �l c_=-s_.SIO ❑Y ❑ ❑ f ❑ 11 El 11SIGNATURE OF AUTHDpl1ZED{GENT OR DRIVER DATE ROLL-0FF(SI FLAT BED VAN DRUMS * ,�� /,/�ti r- * ❑ ❑ ❑ ❑ ' ` FORWARD INC LANDFILL CUBIC YAMS CUBICForward shall have m aaLpatron to accent the waste d weather or When `r FORWARD INC LANDFILL �' conditions arpaW fir sorra am eftea,rre dapdaal a Ib waste a tri waste DISPOSAL METHOD (TO BE COMPLETED BY FORNWAD) Forward ih68 Yrwa m odgatron b accept lir waste A wuthar or alter mpmrs the axle am etfecore operation or Ine Landhe FuwarO shall uu mpo%l BIO JAERATE OTHER cc ddrafte cpW the safe and afteawe dispodal of IM waste or A ttr waste Waste lo, ell Maom to orarnpAb r ar DW to M ds v waste a sba" Ian erpaas the safe and effeemm opemron of the uw&,L Forward shalh tat D' IT81 8E COMPLETED$Y FOOTHER I waste far airy reason u%Mon s refusal to notify he wase a wen an ❑,,�IL reasorYde!Nares to promptly nc*Drpow of de Ir AbOY to accept the BIO AERATE OTHER weather or Cher sae con0 chs Forward that mhly w l be able than pre waste for any reason.If Forward a refusal lo accept the waste is based on tyle waste are expected ro rltan7e such that Forward+anY tx sole to accept weauer or Cher arta conditions Forward aha?nonlY the DbPD"r when ads [177 ttr waste SLUDGE cordd,ans are everted lo charge such that Forward will be able m W0101 REMARKS NFRV9LE 9e wesle _ ❑SLUDGE ❑ ON ASBESMS REMARKS - FACILITY TICKET NUMBER NON-FAu9LE _ ❑WOOD FACILITY T/1GIf�T RDNl1 w ❑ASBEST06 I SIGNAfURWAuTHdRI2ED AGENT ` Y"TE - ©WOOD ❑ASH i SIGWAT�d�E OF ORl7 ❑ASK * t r ✓ J ❑OTHER ❑OTHER SCHEDULING MUST BE MADE PRIOR TO 4'00 P M THE DAY PRIOR TO EXPECTED ARRIVAL.ANY UNSCHEDULED LOADS ARE ' SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SCHEDULING MUST BE WADE PRIO tWn RT 4.00 P.M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE To SCHEDULE CALL(2091882-4298 MANIFEST, 55517 SUBTO JECT T SCHEDULE CALL REFUSAL PON RRIVRMANIFEST# 55 ONGOING DAILY DELIVERIES MUST BE SCHEDULED TH THE LANDFILL THE DAY BEFORE165GEtt£MTDRCOPY