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C O R ORA TED -h �ru�v� F i i ,FORWARD — NON-HAZARDOUS WASTE MANIFEST INCORPORATEA WkSME ''" I N C O R P O R A T E D 4YASTE TREATMENT AND DISPOSAL FAGUTY - � JOB ACCEPTANCE N0. , - Boz � _ % _ I - JOB ACCEPTANCE NO. olumm JA A OG T J ❑GLOVES ❑GOGGLESEIRF_SPiRATOR ❑HARD HAT MaIRrG ❑TYYEK I-]OTHER JA}c51' G Q ❑GLOVES []GOGGLES[]RESPIRATOR ❑HARD HAT afYY71=C - r,,;��.._• TYVEK ❑OTHER P r, BQX 37 SPECIAL HANDLING PROCEDURES � � =�_ ❑ CTTy .-r_ r r«'s_ - SPECIAL HANDLING PROCFDURES • Ld74RQP CA 95330 GITY,5L43i^JP sweWkww�.r— pHf�E�.':'�'•y-'�:��'-';= 239-957 5aE3„ s . • ofYDnrEk—_T r i�1. E:+.:.,'` YSr--=,�.o+. --- .1 r+,--- GONL4T7TF .,r+`��-�rr ^r" 20A—a57-598 -..-:. . __,___r JAN HEN ,S 3H SIGNATURE �l ^_W -daRTE'--"R_ i p H c SGV * „� / fir✓ jy *NAT[1RE / T _ DATEr - wASTE _ I RECEIVING FACILITY ❑SLUDGE • E T- RECEr”FACILITY ❑ TREATMENT SOIL ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ SLUDGE ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD [I TREATMENT SOIL [7NON-FRLA13LE ASBESTOS FORWARD INC LANDFILL ❑ CONSTRUCTION SOIL p ASH ❑ DISPOSAL SOIL ❑ NOOC p OTHER ST��° -= MANTECA, CALIFORNIA 95336 © CONST RUCTION S01- ❑ ASH 9999 SOUTH AUSTIN R0/1D • GENERATING FACILITY (209) 982-4298 PHONE ❑OTHER sT, MANTECA, CALIFORNIA 9'5336 n '= 37- --- - LE • GENLRATINGFACILITY (209) 982-4298 PHONE -;: - 7 (209) 982-1009 FAX - - T T^C L 09) 982-1009 FAX - ��n7 n ,-_� ...YEN (�2 NAME NOTES TRUCK NUMBER - '- aA ;,_T- Tz „'T 3�C�3C/%J3 NAMENOTES TRUCK NUMBER ADDRt55 J (- - i-LT`3 '�(l'i_Tllu `rt 3 I : �7 le __ _ _ _;^_ - ADDRESS �CITY STATE-ZIP -EE - CITY STATE ZIP R - PHONE^ - END DUMP J BOTTOM DUMP TRANSFER �!S- D ❑ ❑ PHONE Y END DUMP BOTTOM DUMP TRANSFER SIGNATURE;)F AUTHORIZED AGEN7,64.¢RIVER I DATE ROIL-OFFAS) FLAT BED VAN DRUMS T __ c_a r ❑ ❑ ❑ J- r ❑ [] © ❑ SIGNATLtR OF Ai MAORI>_D AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN OPUMS ❑ ❑ ❑ ❑ FORWARD INC LANDFILL CUBIC YARDS � Forward anall curs no cblrzatron to accept the wade d weather or other I FORWARD INC LANDFILL CUBIC YAMS condoxxu rrpalf the"It!And ehecur dismssar of the waste or d the*WeI mp8Ars the safe and eflattrve operation of the LandfitL Forward Shall use DISPOSAL METHOD (TO BE COMPLETED BY FORWARD! Forward snail Haut no odgat o to accent the waste d weather o other t` reasomble eftdta to prorml rtatdy Disposer of ds rwblldy to accm the DISPOSE B10 I AERATE S=KPU OTHER conddmns masa"tna safe arc.ttecttre deposal of the waste or d the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) waste to ary reason r Fonvwd s mirusa to accept the wash 6 based on rnpa,rs the safe and eflectwe operation of the Landfill Forward shall use weather c p!Iler arta cuedrAons Forward shall rC'ty the t�As;,caer when site �� reasonattle effots to yom ly W4 Deposer of ds rrtabddy to accept the rl &0 AEAML OTHER waste fMGhOne a.T ermac-:J to Mmte such that Fwward wen be We to accept SIP 1Q arty reason h Forward 5 rlitlsal to eG-0pt the wastE rS based On the waste ❑SLUDGE f weafter or other ane carddAms Forward sf'a4 rwtdy the Oeooser when arta SOIL • ; condaApns are ermected to=nge�that Forward.9 be able to accept REMARKS _FRIABLE = the waste ❑SLUDGE ❑A56EST0.5 ^ 1 4_IylA - NON-FRU4BLE 1 FACILRY,MZ5I ET BE ', _„ ❑NOWFRIA ❑WOOD ASBESTOS FACILITY TICKET NUMBER SIVATURE,o AUTHORPZE�AGENT DATE /` - ❑WOOD ❑ASH SIC4A7ZRE Of.911THORIZED AGED j /' DATE OT}IER I Y/ /� f! f , ASH r S ©OTHER SCHEDULING MUST BE MADE PRIOR TO 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULO LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SCHEDULING MUST BE MADE PRIOR TO 7P.M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE TO SCHEDULE CALL 1209)982-4298 MANIFEST# 565.52 SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE PAY BEFORE GENERATOR COPY TO SCHEDULE CALL(209)982-4198 MANIFEST, 56 553 GENERATORCCPY