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NON-HAZARDOUS WASTE MANIFEST FORWARD FORWARD INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY NON-HAZARDOUS WASTE MANIFEST JOB ACCEPTANCE NO. INCORPORATED VOSTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. JAMS G " ❑GLOVES []GOGGLES©RESPIRATOR ❑HARD HAT - ❑TYVEK []OTHERJAMES M LANGSTON ❑GLA1/E5 []GOGGLE S[]RESPIRATOR ©HARD HAT P O BOX 97 �Y S�ZIP,x�,y r _ _ ... 5PECWL HANLH.ING PRCK;EDUFIES ❑TY--VEK ❑OTHER ' P O B tl 7 ,97 LTHRI`}P CA 9 30 - SPECiA..HANDLING PROCEDURES ��-`�� - "V47 - + LATHROP, CA 35330 Y209-957-5981 CTX]NUICTPERSON��x= +r.-,.snb_ �- °�*- - 20S-957-5981 -JAV 4fErlr�-TCKSO i ^ COI�Ih& __ r .- OF AuTHOR[zm AGE57%TT[CE- 7 DATE ti JAI' PE!r R I%D tr YILASTE TYPE �t _ - RECEIVING FAC7LfTY * ��t! /aa/s VVDZ I ki TYPE RECEMNG FACILITY —` ❑ SLUDGE ❑ TREATMENT SOILNON-FRIABLE - n HON- DISPOSAL BOIL 0 NON FRIABLE ASBESTOS FORWARD INC LANDFILL El TREATMENT SOIL ❑ SLUDGE ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL p CONSTRUCTION*OIL f ❑ ASH 9999 SOUTH AUSTIN ROAD ' © DISPOSALSOILLp�❑ OTHER MANTECA, CALIFORNIA 95336 ,SOIL 9999 SOUTH AUSTIN ROAD I + p OTHERMANTECA, CALIFORNIA 95336 GENERATING FAChFy LA/'nGlll_ JL -1C; (209) 982-4298 PHONE - GENERTNG FACILITY -- (209) 982-1009 FAX �A T', ' - - (209)982-4298 PHONE I - "l- t" ,T (209)982-1009 FAX _ NAME {TC t Gtr ,_L-h T�try-t,t NOTES TRJCKNUMBEP ADGRES5 NAME 3 NOTES TRUCK NUMBER ^ RtiL°_� �- h'Jc ADDRESS 1LTTF,UC.,Z.J3 CITY STATE zip s ` ~ -= j^�-• r� v�J - CITY STATE.Zip PHONE END DUMP TRANSFER w� , .. BOTTOM DUMP - PHONE J --H r r ^- END DUMP BOTTOM DUMP TROtSFEP SIGNAT OF AU7HD�LZfrD AGENT OR ORNEA DATE ROLL-0 I$) FLAT BED VAN DRUMS I 0 ❑ p I /{ ] ` ! Gr ❑ ❑ ❑ ❑ SIGNATURE O�AUT?iC'SFIZED AGENT OR DRIVER DATE FlOLLFiS} FLAT BFB VAN DRUMS FORWARD INC LANDFILL cuslcpAPos Forward ensu gano Ohte7at+ors to.rept the waste R weather or other f FORWARD INC LANDFILL cuBlc YyRD condve inwi 1 mpatr The pate and of}F-trv�e dtSPosal of;he ate o,rf trte waste Fwward Steil have rq pplgadon to accept the waste d weather or otf+er I ppCaas the safe and rorr ire oP fY DM10h Of the LIts in F DISPOSAL MESHOD } cond,hons'"Pav the safe and erfectne deposal of the waste or A the waste reasona.Me efforts n P""11iy no,f 1?s Forward anal use ' (TO BE COMoLETEB 9Y F(Ba1NAPD Y Poser of as hedaay to accept tr>P DISPOSE1 ENO AERATE JSMCKPU OTHFA vnparrs the sate and eHectne cperatgn of the Landfill Forward shall use DISPOSAL METHOD, (TO BE COMPLETED Bv FO�R,,.I E waste Irx ary reason.tl Forward s refusal to accept the wale a used on f II reaso�aye efforts to prOrnpty nrnuv Disposer of its natHkty to accept the r POSE BIp i AERATE Isae OTHeR yreather c d'xr rale cc s.."tarts Fo.wa~±":tt ro'ttv Mo DrspOser nAr"rl arts SDI! waste for any reason tt Forward s refusal to accept the waste is fused on Corl[ktgau era e�ec�ld tp cranpe SUG7 that FdrM^dfd vrrA be able 10 Cccep! a..' r a 'I'e srte conddlOnS Forward shell mOtrfY the Disposer when site SOIL tlw waste + REMARKS SLUDGE i the waste ere:"ctec Ld charge such that Forward wra be SW ro accept ©SLUDGE FACILITY TICI�-NUMBn— C NON s FRO LE i I REMARYS KION l c ❑ASBESTOS ❑WOOD I FACILITYTICKETflUI�BE� SIGY JRE OT�CUTHORI:�D AC3�N7 / �qTE ❑WOOD ❑ASH I i SIGNATLfRE I7F�JTHORiZEb AGEIIT DATE �, ASH C�ThER l •k /� L'- �L! /� ❑OTHER ! SCHEDULING MUST BE MADE PRIOR TO 4 OD P M THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE I J SUBJECT Tu REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDUf ED WITH THE LANDFEL THE DAY BEFORE SCHEDULING MUST BE MADE PRIOR TO 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE ` TD SCHEDULE CALL I2p9}982-,298 SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE L ANDFlLL THE DAY BEFOFE r sAANIFES`d 55527 To SCHEDULE GALL(209)982-4298 GENERATOR COPY MANIFEST* 5 552 GENERATOR COPY