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FORWARD NON-HAZARDOUS WASTE MANIFEST FOR�UARD INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY NON-HAWDOUS WASTE MANIFEST J08 ACCEPTANCE N0. "� INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. CM9— 4402 E /�- GENERATOR _ '� _ f3EU[#REDMISONALflROTECTIVEEMPMEN[ J ST N []GLOVES ❑GOGGLES❑RESPIRATOR I]HARDHA7 JOIESW LA �;5T4" » - -~ ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARDHAT MA4NG ❑TY-VEY E]OTHER G � ;r. �y:r+ � ©TY-VEK []OTHERCITY P Q�ROX 97}T-- SPECIAL HANDLING PROCEDURES CITYc 0 ZIP V c 7svig __ r a r_ v= A ., � SPECIAL HANDLING PROCEDURES 0 ..' _ a aa� • Lr TP:1 Ck °53 r PHONE 20q-957- 30 corrolcr �0 2^G-957-54e. _ a ---� - ooNnACTr.ERsoN JAII�FI fcsOM - )AV HCFri"„I'SOtl� SIGNATURE O �_J � DKI'E SIGNATURE EM/TTilP 7w: E�/ - - RECEIVING FACILITY WimRECEMNGfACILRY © SLUDGE ❑ SLUDGE ❑ TREATMENT SOIL p NON FRIABLE ASBESTOS FORWARD INC LANDFILL ] TREATMENT SOIL ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILL • ❑ DISPOSAL SOIL L7 CONSTRUCTION SOIL p WOOD 9999 SOUTH AUSTIN ROAD © DISPOSAL SOIL i ❑ WOOD gggg SOUTH AUSTIN ROAD GENERATINGF7CEL � arHER 5..r�r�a;__ MANTECA, CALIFORNIA 95336 � ., ❑ CONSTRucTloNsolL I 0 ASH -- �-� - MANTECA,CALIFORNIA 95336 ffY (209) 982-4298 PHONE GENERATING _ (209)982-429$ PHONE (209)982-1009 FAX -{ °'T� = L` _ �F, T. _ (209)982-1009 FAX _I'H"vC NAME r NOTESY TRUCK NUMBER --+ y NAME NOTES LICK NUMBEP ADDRESS T7 1`I ' T L!^! - i` %b-- O�i�c.[.G+ ADDRESS . CITY STATE DP~ — r 7 CITY STATE ZIP I r -Ti PHONE END DUMP BOTTOM DUMP TRANSFERV PHONE END DUMP BOTTOM DUMP TRANSFER SIGNATURE O> AUTHORaED�GENT OR DRIVER JDATE ROLL-OFFS) FLAT-BED VAN DRUMS SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS FORWARD INC LANDFILL CUBIC YARDS— FORWARD INC LANDFILL CUBIC YARDS I( Forward 311311 he"m obkown to accent the wute A westtrer or other ' Forward shall have no aoApahon to Amept the waste ff weather or other n,o cordns wvmr the sate And etlec"Nspc"of the waste or a the waste DISPOSAL METHOD' (TO BE COMPLETED BY�ORWARO} cordams impair the safe aryl ehectrve deppsal of the walla or a the waste arnp3as sate and nteoae pperall�n m a>e Latl Forward,11311 use DISPOSAL OD (TO BE COMPLETED BY FORv16L;D) anpairs the safe enc eHecire operetron or the Landfill Forward shall use reaaonaale efforts to promptly aopry Deoaser of rta rnadlrty to accept the DISPOSE) Rio AERATE lsfrjca l OTHeR reasonable eHorls too.,y"Oy Disposer of 0 nabltrty to accept the rspoml mo 1&-ftm,smilOTHER wa3te nor arty reason a Forwarjs raf,e. <G accept the waste a based on waste for any nee+rv+ a Forwams refusal to accept the waste a based an weather or other We caitlroons,Forwvd Stay rally the Deposer rSier able I� w•athe or othP are oondawru Forward shall notsy the Deposer when ane r, the waste are a7rpeclad 10 Charge Such That Kprwary wd€bre able 10 3CCep! conddronu ere expected to longe dxh that Forward will be able to&=at E wake �SLUDGE � the waste ❑SLUDGE ` REMARKS _ ..� _--_ NON FRWgLE REMARKS r I^ FRIABLE FACILITY TICKupuggiER /Y` ❑ASBESTOS I FAGLTrY 71CiCETNUMBER I�ASBESTOS i / ❑WOOD I I ❑WOOD SIG#TqREXF AUTHORMD AG?4, / DATE E �I�PlOF OF�ZED DATE " z r -- ❑ASH / / Gvf '� ❑ASH El OTHER 1 *� rf � [i v ❑OTHER SCHEDULING MUST BE MADE PR 10R 70 4-0(3rP.M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRICIA TO 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SU&JECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)982-4288 M N- MANIFEST• 51756 Z TO SCHEDULE CALL(209)982-4298 ^M1 N� MANIFESTO 565635