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(FORWARD � -' NON-HAZARDOUS WASTE MANIFEST FORWARD NONHAZARDOUS WASTE MANIFEST TRFJITMENT AND pt$PpSAL FACR(TY INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY '1 N C 0 AP O R A T E D �. JOB ACCEPTANCE NO. JOB ACCEPTANCE NO. CIM— 4402 r- GE GENER/LTOF--- _ o -- — AEQU63ED FERSONAI-;ROTECMEOUIPMENf ❑T-�S I f - J F r ES a L A•,S T 3I _ J ❑J ❑ ❑ [IGLOVES GOGGLES RESPIRATOR HARD HAT ❑GOGGLES❑RESP�iATOR ©HARD HAT A"ILINGADQRESS— _ _ _ ❑TYVEK ❑OTHER p D 9DY 97 ❑TYVEK ❑OTHER _C D 30) 4 7 -� _J N_s -- SPECIAL HANDLING PROCEDURES CITY SPECIAL HANDLING PROCEDURES + ITSAHgnD °5C31 T- T� PH LG7�lR P r 9 3 - - �- 209-957-599 ^Da-S;7-FaE1 _ GOKpICfP�-RSOtt"` -' - .�` CQN01CfEFtSON _ '`' jAr1 �I"„ t'c b,c ^K E n t - - - SIGNATUR ENT/�LES ,� DATE- SIGN TURF O y AGENT/TITLE DATE • E / A V W"TE - _ _ ,z REL'EMNG FACILITY RECEMNG FACILITY / ❑ SLUDGE ❑ SLUDGE ❑ TREATMENT SOD ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL • ❑ DISPOSAL SOI p WOOD ❑ DISPOSAL TIO$OI ❑ �D 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ASH © OTHER -- - - MANTECA, CALIFORNIA 95336 ❑OTHER _Y^ - MANTECA, CALIFORNIA 95336 GENERATINaFACILITY f GENERAriNG FACILITY - (209) 982-4298 PHONE r`TJ - - T ^ - (209 x982-4258 101-LONE rTyc,^,t-r : cT (209) 982-1009 FAX ` - - - _ (20.,) 982-1009 FAX NAME NOTES +. '-S NAME NOTE^ NOTE - TRUCK NUMBER 'TRUCK - - -„t^ T ,- ry �� j1 i1• 7 ---� iIp T- - '° - —1, ADDRESS ADDRESS i n � � f r -� .CRY STATE,71P` CITY STT..TE ZIP Y J _ 3 x Ll -, 7 f 1 4 PHONE END DUMP BOTTOM DJMP TRANSFER PHONE END DUMP BOTTOM DUMP TRANSFER_ I�r ❑ ❑ -r S ❑ SIGNATURE OF AU-Ho iaED.,GENT OR DFUIR DATE ROLL-OFFS) FLA-BED VAN DRUMS C D SIGNATURE OF AUTHORIZEDrAGEENNT CR DRIVER J DATE ,❑ c ROLL-OFF(S) FLAT-BED VAN t,r,tt,MS may/ © © ❑ CUBIC YARDS FORWARD INC LANDFILL cualc YARDS FORWARD INC LANDFILL f C I^ Forward shall have ro obWalion to accept the waste if weather or other I v Forward shall have m of hwrt on t.,a:capi the waste A weathrr or other CDW,to-�s=Dow the sate and eflecti a deMsal of the Waste or 4 the wyste D4SPQSAL METHOD- {TO BE COMPLETED BY FORWARD)lrt conditax amaar the safe and elfect,va disposal of the waste or,f the waste DISPOSAL METHOD' O BE COMPLETED BY FORNWRD —cars the sale and effeCt”operator of the LardNi Forward shall„se rJ pISFDSEI BID AERATE I510C�1E OY,l ic"q n+ma,rs the safe arwf effective operation of the Landfill Forward than use r J reawnabte efforts to vorw}y rol,ly Deposer of es a,ao,lav to accept the reasonable afforts t�sorrow rto,�fy Disposer vl its trma,78y tt actxot the „-, SPOSE i31D AERATE SSCfA�ILE (THCq wase to any reasst If Forward -elm o acew the Aw*,s bused on t wast for any ttrWssa d°onwards ieh,sal to except the waste a based on I wee her or other sae DondA,ors Forward shall rotdv the Deposer when site SOIL wsattter or other artC condd,ons corwa.o shall roily the Drsposer wrier SOIL I cordrgra are e>Dected to"Ve aLch that Forward wi6 be dole to BCCaof ' Conciftm art emecteo to onm,pe aeon fhat Forward wilt be able toaccept t e waste ❑SLUDGE the wast! REMAWCS�-� Y - - - ,- ❑SLUDGE I ISIGUATUPE REM*YS NON_'� - -- � - "' NDN FRIABLE ASBESTOSLL❑ FA:iLf'\ TICKET NUMBEAFAGLI7 Y 7]CI�NUMBER- _ - _ - ©KOOD SIG RE ORLZ D7x171 *-- ❑WOOD OF AUTHORIZEI:1VENT , DATE G.,,E ❑ASI1 �'f I ASH OTHER ! OT3lER f - ❑ SCHEDULING MUST BE MADE PRIOR VO 400 PA THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO A-oo P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS AP= SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DARY DELIVERIES MUST BE SCHEDULED W[TH THE LANDFILL THE DAY BEFORE TO SCHEDULE TO REFUSAL UPON2-429ARRIVAL ONGOING DAILY DELIVERIES MUST HE SCHEDULED WITH THE LANDFILL THE DAA BEFORE 56549 �SCHEDULE cAu(24�)as2.a29H MANIFEST, 5650 TO SCHEDULE PALL(209)IiB2-12si8 MANI=EST• raFuraamn ry,w GENERATOR COPY