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FOR YYARLJ NON-HAZARDOUS WASTE MANIFEST WARD ' NON-HAZARDOUS WASTE MAMFEST ' INCORPORATED VTE TREATMENT AND DISPOSAL FACR RY INCORPORATED Y�AS7 E TAFJI7ME AND DISPOSAL FAGLIT 1 JOB ACCEPTANCE NO. JOB ACCEPTANCE NO. JAMES M LANGSTON []GLOVES ❑Gf)GGLES❑RESPRATOR ❑HARDHA7 JAMES T9 LANGSTON ❑GLOVES ❑GOGGLES❑RESPIPATOR ❑HARD HAT [:)TY-VEK ❑OTHER ❑TYVEK ❑OTHER R 0 BOY 97 P 0 BOX 97 SPECIAL HANDLING PROCEDURES SPECIAL HANDLING PROCEDURES LATNROP CA 95330 LATHROP CA 95330 wom-- 209-957-5981 209-957-5951 CON`I4G PERSON_, n __ ^-- JAN 4ER°IC'(SOI' J JA ' YERRIC' SOPI - OF'AllTHOfj11ZED)kGEtJT'7.�TREAtr�Jo�o - IAO:STE TYPE _ ._ _ RECEMNC FACdIIYr. .— - Y1RtSTE TYPE _ - .—.r-�....-r... _x.....»��_�. REGE7VINC'FACCITY' ❑ TREATMENT SOIL p NON-FFRIABLE ASBESTOS FORWARD INC LANDFILL � C TREATMENT SOIL p NONDFgmLE ASBESTOS FORWARD INC LANDFILL - ❑ DISPOSA"SOIL ❑ wwo9999 SOUTH AUSTIN ROAD • ❑ DISPOSAL SOIL p WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUC71ON SOIL p ASH p CONSTRUCTION SOIL Q ASH ❑ OTHER SIL MANTECA, CALIFORNIA 95336 ❑ OTHEP _ =-- MANTECA, CALIFORNIA 95336 e . GENERATING FACILITY (209)982-4298 PHONE GENE RATINGFACILITY _ (209) 982-4298 PHONE 15V- SEJ1F,I'S '-=G ;- (209)982-1009 FAX ,; J S L (209) 982-1009 FAX NAME NOTES TRUCK NUMBER NAME NOTES TRUCK NUMBER Q ^? Sf} _k_» 'LTJ "� :rfti ADDRESS J ADDRESS Vr S 6o .CITYSTATE,ZIP i �+ r7 Z .CITY STATE ZIP ' - 'PHONE END DUMP BOTTOM DUMP TRANSFER PHONE ENT)DUMP BOTTOM DUMP TRANSFER 11 SIGNATURE OF AL'THORTED AGETNOR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS SIGNATU�OfiA�THORI7ED AGENT OR DRIVER DATE ROLL❑OFF(S) FLAT-BED VAN DRUMS J FORWARD INC LANDFILL CUBIC YiRDS FORWARD INC LANDFILL CUBIC YARDS Forward NwIt han no oblipabon to accept the waste it weather or other eonddai5 arpav the late and etfectrve disposal of the waste or d the waste Forward r In Rave n0 idefte qn t0 accept the wade d e/or d tf Or other 1 i anpaua the safe and enedwe operation of the L&rKM Forward 001 use DISPOSAL METHOD' (TO BE COMPLETED BY FORWARD) aawdbre aoD le the late arid eopera 4 d�of the Gl Ire waste or d to waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) reasonable etfoft to prdmeoy ooaty Dm;.mr d ds inability to accept the DISPOSE SIO 1AERAMEISTOWLE OTHER m,. ttte sale and promptlyeective notify twn of the Landfill Forward cep the �pD� BIO AERATESTOOftLE OTHER ryreasorahte effpr's to promptly notify prsposer d its rtahLty b accept the waste for any reason 11 Forward refusal to accept the waste is based ontheon weather or o&4r site Crdduns FG-ward sna no*tie Disposer when site �}-SOIL waste fa dry reason a Forwards rw}usal h lnotify accept he waste Disposer heed de 2 04L cmalGts are expected to dW*e YUCK trm Forward will be s4de to accept . weather or m e ute Carto l hs; a ewh oat nohy the Jbe ill when a pt i�'R' the waste p SLUDGE the waste are expected lit ohaMe such trtat Forward roll tx orae to accept ,ne waste n SLUDGE REMARKS ` REMARKS NON FRIABLE j NDN FRIABLE FACILITY TICKET NUMBER _ ❑ASeE= ❑�E�S [3 WOOD FACILnP-, K.Cr`NUMBER ©WOOD SIGNATURE OF AUTHORIZEDrAGENTr N DATE 516NATUF}E OF AUTHORl7b AGENT �G DATE t _ ❑ASH ©PSH ❑OTHER * _ — i (t ❑OTHER SCHEDULING MUST BE MADE PRIOP TO 4 DO P M THE DAY PRIOR TO EXPECTED AR9IYAL•ANY UNSCHEDULED LOADS ARE 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 VJITN THE LANDFILL THE DAY BEFORE SUBJECT TO REFUSAL UPON ARRIVAi_ONGOING DAILY DELIVERIES MUST BE SCHEDULED wTTH THE LANDFILL THE DAY BEFORE to SCIAEDUU CALL 12091982-42913 MANIFE�ii # 55539 TO SCHEDULE CALL(209)982-4288 MANIFEST* .7 554 0 GENERATOR COPY GENERATOR COPY