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r� FORWARD NON-HAZARDOUS WASTE MANIFEST I /47 ORWARD NON-HAZARDOUS WASTE MANIFEST 1/ INCORPORATED WASTE TREATMENT AND DISPOSAL FAC LITY J Iv C O R P O R A T E D vosm TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. _• JOB ACCEPTANCE NO. yEc ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT , T , ❑GLOVES ©GOGGLES pRESPIRl4TOR ❑HARD HAT QTYVEK ©OTHER ❑TYVEK ❑OTHER i C.rryPS-ou-m 0 BOX 97 SPECUtL HANDLING PROCEDURES 6 Y +r SPECWL HANDLING PROCEDURES • LAT OP CA 95 3 • �I X 533 Rb� _ •- 2'J9-957-5981 JA'l HERPIC�SOPI JAI Nc'14 'Y5^I -- --�---� SIGNATiIAE OF ALII}fORT1ED AGENT/TTTLE �'DATE� SIGIJATUR�OF A�IORI'�ED AGENT!_ ate; �Y1TE f" �( T XX! T `!f t..!! r- v7 �� VWkSTE TYPE _ RECEMNG FACILITY - _ _ _- _ VO TE TYPE _ RECENING FACdJTY ❑ SLUDGE © SLUDGE ❑ TREATMENT SOIL ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILL [I TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL • ❑ DISPOSAL SOIL ❑ WOOD []❑ DISPOSAL SOIL ❑ WOOD ❑ CONSTRUCTION SOIL [3ASH 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD ❑OTHER ST70,01LE MANTECA, CALIFORNIA 95336 ❑ OTHER STnC,„} - MANTECA,CALIFORNIA 95336 GENERATINGFACIurY (209)982-4298 PHONE GENERATINGFALaUTY (209)982-4298 PHONE 'TIli$3-rl IIS RriT ° Ti2' �� SQIC - - T'- - - 1! -- rc IT, Si (209) 982-1009 FAX A_ _=,r_ - - (209)982-1009 FAX Cr NAME NOTES TRUCK NUMBER NAME NOTES TRUCK NUMBER 1286 He IILTJId T^,JL,.�II^ - - - I _ r5 __-j ' ADDRESS w` ADDRESS llGSflr '-' 130= °-J-IIc AV= . CITY STATE ZIP - .CITY STATE ZIP :G_S(IT. 2 ^`C • PHONE END DUMP BOTTOM DUMP TRANSFER - PHONE - END DUMP BOTTOM DUMP TRANSFER ❑ D ❑ � ❑ ❑ ❑ SIGNATURE OF AUTHORIZED.AGENT OR DRWR 087E ROLL-OFF(S) FLAT-BED VAN DRUMS SIGNATURE 0�4i IORIZEO AGENT OR DRIVER DATE ROLL-0FF{S) FLAT BED 4S4N DRUMS FORWARD INC LANDFILL cuBlc YARDS r FORWARD INC LANDFILL �' YARDS y/� Forward Stuff twe no eblgatlon to accept the waste If weather or abler I I forward shaft nave no oblgatlon to accept the waste If weather or Wwr conditions arpar the safe and effective drsoosal of me waste or it the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD} DISPOSAL METHOD {TO BE COMPLETED By FORWARDS w1pars the sate mid•lecave operation of the Landfill Forward"ll use cdnddwns*male the safe and effective ati n of th of the waste or d the waste ' IIIIDaB the sale arid!HlCtrvp ope atlDrl Oi the 1,etltlfJl Forward gtsell use s reasonable efforts to onmaly nowy Disposer of ds■iabhty to accept the DISPOSE BJO AERATE OTHERDIES B1C1 AERATE SfOCXFSEI CTIiER t waste for any reason If Forward s refusal to accept the waste 4 based on wasee for reasonable efforts to promptly nptdy Disposer to of ds he waste is ro accept the , weather or mer one conddem Forward snarl notdy the Disposer when ate ❑SOIL weeltVr orao�tner she cendltgnsreesw If �F ward shall notify lne Drsooser wnendsle ©SOIL conditionsere emmled to cnarge such that Forward ma be able to accept the waste ❑SLUDGE the waa ISee are a Defied to Change aucn that Forward w+ll x able to ecoept ©EDGE ' • REMARKS ©NDN-FRIABLE + REMIARKZ; ©NOk-FRIABLE FACILITY TICKET NUMBER ASBESTOS ASBESTOS FACItS1Y TICKET NUMBER ❑WOOD ❑WOOD 516►fATtJREO��liTkiQB}j�ESRG NT 1 f DATE SIGNATURE-OF AUTHlJRIZED AGEW �f _ DATE Ji - ❑ ASH ASH ❑ f� OTHER * ❑OTHER SCHEDULING MUST BE MADE PRIOR TO 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE SCHEDULING-MUST BE-MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS AR' SUBJECT 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 LArrDRLL THE DAY BEF- TD SCHEDULE CALL(209)982-4298 NIANIF£ST w 55543 TO SCHEDULE CALL(209)982-4298 MANIFEST* 555! GENERATOR COPY GENERATOR COPY