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lw )ORW- ARD NONHAZARDOUS WASTE MAMFESTFORWARD NON-HAZARDOUS WASTE MANIFEST INCORPORATED VYASTE TREATMENT AND DISPOSAL FACILITY � INCORPORATED WASTE TREATMENT NJO DISPOSAL FAY ' JOB ACCEPTANCE NO. JOB ACCEPTANCE N0. JAiaES H LANGSTUN ©GLOVES ❑GOGGLES❑RESPIRATOR R�AQ T i MMMEMEMM qgwinm ❑TYVEK OOTHEA JAMES M LAHGSTON 7'0'�= ES ❑GOGGLESpRESPIRATOR ❑HARpHAT K OTHER p ggTF_ xu 7 M •+ ^ad �, T r SPECIAL kIANDLWGPROCEbIaiES ;P ��•�T y ViH0.NDlCUGPROCEDURES LATWOP CA 95339 ' LATHROP CA 95330 p�IOiIEx�57 m-►.-_.. .srir:t'.1+1a ��r € `-- �c-_.._ 2L9-957-55_81__ 209-957-5981 ...{fs�"_s ,W� `a� GONTACf PEFiSOIiyt�' .� Lyra "` fi" �a t� JA 1 EVRICKSON � � OutTE !a"I H'cYlRICXSGII ,mLE OFA HORIZEp AGENT(TTLLE-'a, DIVE•�"" Yww.SrE TYPE RECEIVING FACILITY Y - 4"'m TYPE _ _ _ _ RECEIVIN FACYIfY ❑ SLUDGE ❑TREATMENT SOIL ❑❑NoriFRLA3LE ASBESTOS FORWARD INC LANDFILL p SLUDGE • p DISPOSAL SC& wodo 9999 SOUTH AUSTIN ROAD ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL © CONSTRUCTION sOe ❑ + r ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑OTHER 'T'r,'I' MANTECA,CALIFORNIA 95336 •• [1 CONSTRUCTION SOIL d OTHER Te��_!- MANTECA,CALIFORNIA 95336 GENERATING FACILITY (20g)982-4298 PHONE GENERATINGFACILJTY 209}982-4298 PHONE i571i Sr:uEOTr1 S-I- 31-T • (209)982-1009 FAX 3-IT 1,,"L_ L tiT,PO 0. C' - :F< <lT' �Y (209)982-1009 FAX L aTiPli, rA ,3-3 NAME NOTES TRUCK NUMBER NAME NOTES- TRUCK NUMBER RTC" 41' IiTOf' TP"C<I' ADDRESS ^t� R?�, !I,SILTQ J TRI'.-,TNN, 1 j 3J J C-7 _ 1 -- 't L O I lI E A4- ADDRESS c i L-,( .CRY STATE,ZIP j_ �. 7 % •CITY STATE ZIP • PHONE END DUMP BOTTOM DUMP TRANSFER I ! N - 7 __ ° ❑' ❑ ❑ PHONE - 7 --'^ l END DUMP BO DUMP TRANSFER SIGNATURE AUTHORIZED AS ❑ ❑ ❑ Q ENT OR DRIVER DATE ROLL- FF(S) FLAT BED VAN DRUMS SIGNATURE OF ALM40A 2ED AGENT OR DRNER JDATE ROLL-OFFS) FLAT-BED NANDRUMS * ,� ❑ ❑ 11 ❑ ❑ ❑ ❑ ❑ FORWARD INC LANDFILL CUBIC YARDS -� FORWARD INC LANDFILL CUBIC YAWS< Forwud shill Mnre en eblr[tation m accept tM wasu d weatl,er a afted condlirar>s u,par the sale aM NIMne d+epeaN of are walla ar d The waste Forward"P he"no oblgatron to a=epl lha waste d weather or other �. MVM the Ufa and eflecuw operas M d IIr Lawful Forward[J0 hall DISPOSAL METHOD' 00 BE COMPLETED BY FOAYIf m) conddlons unpar bw safe and alteclwe aspdui ol uv waste or d u»waste DISPOSAL ODQ {TO BE COMPLETED BY FORYMOI waaomble atkAu to ownpay mArty Drapum d u i samy to arretat aro BIO AERATE OTHER anpm the sate erd Mlechw ooeretgn d the Lardaa Forward"use wash Lor ery reason tl Forward s rsfwat q acapr tM waste a basad on reasonable efforts to pron,ptfy r Y DPapoaer d ds nehddY to accept the r BID AERATE 1pol OTHER waarher or other elle a;pndriiorq Forward epee nbldy are Disposer when Bee ❑SOIL waste for arty raaon tl Edward a refusal b accent tlw mate a heed an conddroni are eypeMed to change WCh that Forward will be able to aCcatA weather or ether aqa condrhw,s Forward shad notdy the DoPoser when see w`°se ❑SLUDGE condtl"are espetled to"rl➢r suer that Forward wdP be able to eccepl - the waste ❑SLUDGE - ❑NON FRIABLE REMARKSa REMARKS NON-FRIABLE FACIUTY3IGKE NIIwaER Y ��0 WOOD FACILITY rICFjEf NUMBER ❑�ESMS vvow SIGNATURE OF,AUTFFORI'1Ep 7pfi �i DATEASH SIGNATUIeEAF OLTTHDRIZED AGEf1� ;DfATE 0 ASH ' C D OTHER * / ! --- �— )r� r r� ❑OTHER --HEOULING MUST BE MADE PRIOR TO 0.00 P.M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED TOADS ARE NORM SCHEDULING MUST BE MAGE PRIOR TO 400 RA(THE DAY PRIOR TO EXPECTED ARRIVAL+ANY UNSCHEDULED LOADS ARE CT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE 'ALE GALL(xCt7)Sax-�2fi8 MANIFEST- 55525 TO SCHEDULE CALL(200)082 1248 MANIFEST• 5 552 6 GENERATOR COPY GENERATOR COPY