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FORWAO NON-HAZARDOUS WASTE MANIFESTNON-HAZARDOUS WASTE MANIFEST ND INCORPORATED WASTE TREATMENT ADISPOSAL FACWTY ORWA IW J09 ACCEPTANCE N0. INCORPORATED ATE TREATMENT AND DISPOSAL FACIIYTY _ JOB ACCEPTANCE NO. CMF! — 4402 GEn -"'t- - --'z:^� -� '� GTIVEEOUIPMEt+Tr�-.�� H H r []GLOVES ❑GOGGLES❑RESPIRATOA ❑HARDHAT GENERAroR �- -, .ya - _ _ ftE DPERSONALPRMECTIVEEOUPLTM (}+ ❑TYVEK ❑OTHER Lrlr"S^TI' _ ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HAITDHAT -P 4 ?Ox MAILINGA40RESS _w �> _yrt�r..= d: : .w .- ❑TYVEK ❑OTHER s _� SPECIAL HANDLING PROCEDURES `I FR. 07 =rs�- = T� __ _ SPECIALHANDUNG PROCEDURES LAT PHORE Y c_�S CONTkCT PERSON �r JA I HSttfft; --- 'DI a-tl rl - SIGNATURE AG % rATE- SIGN Eft r ~AG�NT J TIME U-Tm / 1 RECEMNG FACULTY -- • yYf6rE�YPE / RECEIVING FACILITY # p SLUDGE p TREATMENT SCIL f ❑a0N FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ SLUDGE p DISPOSAL SOIL I ❑ wooD p TREATMENT selL ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ CONSTASH 9999 SOUTH AUSTIN ROAD • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD i I] OTHER ;,,�,�-�- MANTECA, CALIFORNIA 95336 � ❑ conlsIRLrc-iaNSOIL p ASH ^T^- ' l - 5 0 OTHER MANTECA,CALIFORNIA 936 GENERATING FACILITY _ (209) 982-4298 PHONE _ GENERATINGFAG.LITY (209)982-4298 PHONE _- - -, ,T (209) 982-7009 FAX _ - -- ,k (209)982-1009 FAX I f T I "' r - NAME NOTES TRUCK NUMBER NAME �NOTES,4,,_ S �TRUCK NU MBER ADDRESS 9L nL ADDRESS . CRY STATE ZIP t y- CITY STATE ZIP - - - t _ST2 LL PHONE END DUMP BOTTOM DUMP TRANSFER - . 13 1-1 ❑ PHONE END DUMP BOTTOM BUMP TRANSFER 11 -SIG"E OF ALITHONZED AGENT OR DRIVER DATE>y ROLL-OFFS) FLAT-BED VAN DRUMS SIGNATURE OrAUTHJR]ZFD AGENT OR DRIVER DATE ROLL OFFS) FLAP-BED VAN DRUMS 0 ED FORWARD INC LANDFILL CUBIC YARDS CUBIC YARDS FORWARD INC LANDFILL �- Forward shall rage rra obligation to accept the waste d weather or other ?,' Forward shall arse rp Opgalbn to accept lite waste rf weather or other canddars rnpaa orae safe and eaecb.e n of thl of the,.este or t the waste DIS METHOD (TO BE COMPLETED BY FORWARD} ocndnbns ur�air the rate and ettecthe disposal of the waste or a the waste mmarra the ante and eHecthe operation of the LaMhn Forwek araN teas , _ DiSPDSAL METHOD- (TO BE COMRETED BY FORYW RD) reasorat eflorL,to pwnFty nobty Ompoaer of as vitUrty to accept the SPOSE BIO AERATE ISMCKPA-E OTHER anoarra the sate and rompbyttecrive operation of the Le II Forward shall use {t,,,,,, + waste for ny reason if Fow,Hs refimal to accept the waste a 5eaed an reasorabk efturts!o ponptiy nptdy Gsooser of ds anamv ro accept the _ µ+SPDSE I31D AERATE t7T}C P weather or other age cwtddwns Forwa o shall rtotrfy the Disposer when ads ❑SOIL waste for any reason a Forwe-y s retvsal to 6Ccept the waste is eased an IL condlgM1+are effected M change sraXr iiia!Forward MnN be abk IO accept weather or other site coWdrns merward chalk fly the Disposer when rite ' concdions ire expected to charge such that Forward wlN Oe able t0 ttcttpt the wtea- ❑SLUDGE tm r,as ❑SLUDGE REMARKS ❑WON FRIABLE REMARKS NON E w g w _ FACILITY T}GFCEPNUVBER- - -_R-- ASBESTOS _ ❑ASBESTOS ©WOOD FACWTYTICKET NUMBER _ _ � WOOD I SIGNATk1 RE 9�01O lTHOR1ZED 631;N7 DATE SIGrvKut7r C��fHO E,,wENTT j f i ❑ASH - / J +^ []ASH C^ Y ,r , a _ ✓/` J /�f ❑OTHER ❑OTHER SCHEDULING MUST BE MADE PRIOR TO'4W P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 4 DO P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL IPPON 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 LANDFILL THE DAY BEFORE. TO SCHEDULE CALL(200)982-4298" MANIFEST TO SCHEDULE CALL(209)882-4298 MANIFEST* 56567