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� ��._._ �t l:llt,V't�,n1! FvvFv-nrticf+r,wu.�rrrwicmrur�rr=uf i FORWARDNON-IiAZARDOUS WASTE MANIFEST f rN C O R P O R A T E D "WASTE TREATMENT AND DISPOSAL AACUry 11�C O R P 0 R A T E D WASTE TREATMENT AND DISPOSAL FACILITY r JOB ACCEPTANCE NO. JOB ACCEPTANCE NO. GE AAfOR- r r r ur$ ❑GLOVES ❑GOGGLES❑RESPIRATOR ORARDHAT JAMES LANGSTON ❑TY-VEK ❑DTHER MAd.EKr T ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT # P O PP 97 SPEGIALHANDLWG PROCEDURES ❑TY--VEK ❑OTHER 00 BOX 97 • �AATHROP A 95330 CITYSD1T1ZiP �� "a SPECIAL HANDLING PROCEDURES LATHAOP, CA 95330 `^^209.9-957-5981 PHONE. `+ti. , OOFfTACT PERSON e 2a?-457-5921 JAN HFNR KSOF! C01JP4GTPEfiSOPt_ SIGNATURE— OFF E� iTCEx-- DAiE' f JAF� HENP"H�E054N� SIGNATURE O RECEIVING FAC4UT-Y RECEMNG FACILITY - ❑ SLUDGE © TREATMENT S`a� p NON-FRABLE ASBESTOS FORWARD INC LANDFILL YVO❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFCONSTRUCTION SOIL ILL ❑DISPOSAL sot ❑❑ ASH 9999 SOUTH AUSTIN ROAD I ❑DISPOSAL SOIL ❑ WOOD ❑ ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD ° ISR ST�r ��' = MANTECA, CALIFORNIA 95336 ❑OTHER MANTECA, CALIFORNIA 95336 • GENERATINGFAC:LITY (209) 982-4298 PHONE GENERATINGFACIUrY (209)982-4298 PHONE _=F, ' _ _ 13dr� � T�_ (209) 982-1009 FAX -61— ,_'� 1-.T -,c:L, (209) 9$2-1009 FAX _ - ,� i NAME NOTES TRUCK NUMBER NAME ' a, Ti') T°LIEC: Ir - NOTES TRUCK NUMBER ADDRESS r LSZ� � � ' t��r:�•1u 9e--31 357 / 14 ADDRESS = . CTIY STATE ZIP _ CITY STATE,ZIP PHONE END DUMP BOTTOM DUMP TRANSFER PHONE END DUMP BOTTOM DUMP TRANSFER SIGNATURE OF AUTHORIZE6 AGENT 9R-MIVER DATE ROLL-OFFTS) FLABED❑ VAN DRUMS r J El 11 SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED JAN DRUMS 7� `^/ L' 'K / +r J FORWARD INC LANDFILL CUMCyyYARDS FORWARD INC LANDFILL CUBIC Y�.pS Forward shell have no obi*ohor to added[the waste d weather or other doth*rs r Boas the safe and etectrAe daoosal dl the waste or d the waste S SAL METHOD {TO BE COMPLETED BY FDRwt4R0} Forward shall have ro cbLVahon�accept the waste d weather a darer r LJ fear rs the sale ono rD=tlyfteChve ctity on M the Landfill Forward cele use 'POSE BIC AERATE f5R:C1CPaE OTHER reasonable efforts to promolly rohfy Deposer of els hrhaoilltY to accent the card Sore mp safe the axle and NfD&Mb-ervz daposal o!m waste a a the waste DISPOSAL METHOD- CTO BE COMPLETED BY FORWARD) waste for any reason t Forward s refusal[u accept the waste a based on I masoB the Bake sto ell toot'ctive doeratton of tthe�ar>tlfiG Forward shall use I I weather or other site dondstoz Forward Shall rotdy the D=awr when site SOIL reasat or rly re to 0 F oty rohy[us>^ser of ns n bii try to accept t1w f E BIO AERATE S,t7dME OTHER comitais are eapectrd W ehanpe such that Forward-4 br able to accept waste'a Dry reatan if Forwards refteal 10 accept khe waste a bases on 1M waste weather or other see conditions Forward shall robfy the Drapoeer when sit IL ❑SLUDGE , condd"d are MOC116d to Charge loch that Forward.0 be able to aC Mt � REMARKS the wash REMARKS - []SLUDGE ❑NONFRIABLE __ FACILITY TICKET NUMBER LE WOOD FACILITY TICKET NUMB ❑ASBESTOS ❑ �`-` SIGNAT"JRr OF AUTHORIZED/rGEFJT � I DATE vml) p ASH S*R4TGR€OF A�ff 4`_7 AGENT DATE © * _ h? ❑ASH ❑OTHER ❑OTHER SCHEDULING MUST BE MADE PRIOR TO 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL-ANY UNSCHEDULED LOADS ARE '�IECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED wrTH THE LANDFILL THE DAY BEFORE SCIIEDUUNG MUST BE MADE PRIOR TO 4100 P.M THE DAY PRIOR TO EXPECTED ARRIVAL-ANY UNSCHEDULED LOADS ARE CHEOULE CALL[209)982-4298 MANIFEST� 56565�C�JC suSJECT TO REFUSA.UPON ARRIVAL,ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE J TO SCHEDULE CALL(209)082-4298 MANIFEST. J CD JCI^CD 4 GENERATOR COPY GENERATOR COPY