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I_ �r�i �� wwlr ■wig �s a�� wily � s � r_ awn■ �■ � a_��i s_ 1 NON-HAZARDOUS WASTE MANIFEST FORWARD C O R P O R A T E p v AND DISPOSAL FACILITY FORWARD NON-HAZARDOUS WASTE MANIFEST JOB ACCEPTANCE NO. / INCORPORATED WASTE TREATMENT'AND DISPOSAL FACILITY JAMES K LAHGS7(!H ❑GLDVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT JOB ACCEPTANCE NO. CMM"" 4402 ❑TY VEK ❑OTHER GENERATDRL_._ ,_ . , _ _ _ REqffdiPeERSONALFROTECrIVEIEOLAK4W P 0 BOX 97 JAMES P LANGSTON ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT SPECIAL HANDING PROCEDURESMAILIII)GADDRES4 []TY VEK ❑OTHER LATHROP, CA 95330 CiT3f.51AT�21P `47 SPECIAL HANDLING PROCEDURES 209-957-5981 OL.AT R(IP_, CA 95300 �Ts^- _ JAN HENRTCKS _ ?09-9^7-.0R1 a. CONTACTTERSON r L ^' j, _ 17_- * JAt' HETI CKRON SKiNATURE �IZ /VILE DATE/ / RECENP�G FACE .ems...� .a_., '*' .Ar✓/ f l:rwi-, �'T0, ❑ SLUDGE RECERRNG FACAM ❑TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑asPos•l 9OIL0 WOOD 9999 SOUTH AUSTIN ROAD ©SLUDGE FORWARD INC LANDFILL ❑coNSTRucTIDN SOIASH ❑TREATMENT SOIL ❑ NON FRIABLE ASBESTOS L, [I ©OTHER STf C,?-Lc MANTECA,CALIFORNIA 95336 © DISPOSAL SOIL ❑ 1NOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH • GENEA TMGFACttlTY (209)982-4298 PHONE ❑ OTHER - MANTECA,CALIFORNIA 95336 LA°ISrT-{I'!, '-T TA :L. 15"1 TE,;:oTN (209)982-1009 FAX GENERATING FACILITY (209)982-4298 PHONE LAT&i LIP, -4 LA G4T," `` - ' TF'" _-_ 1-rIl Tr ° (209)982-1009 FAX NAME _ NOTES TRUCK NUMBER ADDRESS NAME NOTES TRUCK NUMBER 1325 r"Ifl; IE Adc _IAO 1.r- ADDRESS r_ I P '-L-nl , Jt .CITY STATE ZIP J • PHONE END DUMP BOTTOM DUMP TRANSFER .CITY STATE ZIP t 7 s Y SIGNATURE OFjfiUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT BED VAN DRUMS PHONE END DUMP BOTTOM DUMP TRANSFER ' I4-Q7B-t1`+C I7 ❑ 13Ga_ - - _ v ❑ ❑ ❑ 13 SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS CUBIC YARDS * �� Z.L, l S q ❑ ❑ ❑ ❑ FORWARD INC LANDFILL Farwaid"home no obe9abon tD accept the wane d W"IkW Or QtfW r -) CUBIC YARDS corrasion now the sale and dlectwe dmposal of the west#or d the wasteF and e11eCh a Opefabon FORWARD INC LANDFILL er"" DISPOSAL METHOD- (TO BE COMPLETED BY FORVi14R0) i r the Ufa d the L&ndfdl Forward ehas 4A* ~ reasonable off"ID P"ly notdy Cmuoser of es in"ty to&scat the DI&POSE1 810 AERATE ISMORS OTHER Forward ansa haw no ob6pation to accept Me waste a,+earner Or other waste fa any reason a Forward a ralk"so accept ttr waste is Used on cordrtrons ft=the sale and eflectwe cuspasar of the waste or d the waste DISPOSAL METHO (TO BE COMPLETED BY FORWkRD) weather or other we cardtlxm Forward shag rowdy the Dapoaar when ate �L rnpaU the sale and ettechw operation of the Lendfsk Forward shall use oentlllions era etrpect8d b charge euctt Thal Forward-AU elite tD accept reasonable eHolu m pronnplly Tarty Disposer d Ks rrNdMy to accept the ISP08 BIO AERATE StOCt OTHER waste for any roam I Forward s rehmal w accept the waste is basad on ltte waste []SLUDGE weather or otter sae ca oil"Forward steak rowdy the Deposer when site ❑SOIL REMARKS ❑ _ corodwFRLOBLE the a aro "Wted to&,age wrh that Forward V4 be able ID accept ❑SLUDGE ASBESTOS . T FACILITY TICIfEfiNUMBER _ REMARKS - - NON FROSLE ❑WOOD ❑ASBESTOS SIGNATLIkE VAUTp Fj;;E6 AGENy 4 bATE FACILITY TT�NUMBER s i / _ [:]ASH / ©WOOD O� I l � ! r�J� OTHER ZIGNATUUEiSFE'i 3OelZEDAGENT I GATE ❑ASH 210101 SCHEDULING MUST BE MADE PRIOR TO 400 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE * r' 1 -� -� THER SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)962-4298 MANIFEST r 55518 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 MTN THE LANDFILL THE DAY BEFORE - 2fNERATOR COPY TO SCHEDULE CALL(209)982-4298 MANIFEST55519