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I - -U---- �jT n� >+-A r URWAKV NON-HAZARDOUS WASTE MANIFEST �OR WARD OR - - NON-HAZARDOUS WASTE MANIFEST I N C O R P O R A T E p 4IOLSTE TREATMENT AND DISPOSAL FAC(LlrY I N C O R P O R A T E D wASM TREATMENr AND VfSPOSAL FAC LrrY JOB ACCEPTANCE N0. JOB ACCEPTANCE NO. JM _ r MAd JG $ r ❑GLOVES ❑GOGGLES QRESRRA HARD HAT GENE511l.-1- ' _ ❑TY-VEK ❑OTHER _ JAME_Sk_M LANGSOIN ❑❑GLOVES �MGLES❑RESPIRATOR— ❑HAROHAr x`901--97 _ SPECIHLHANDLING PROCEDURES _ • CTTYsLSDffErZIP` X 97 4 , ' 'a �-:D�a � x _ �- SPECIAL HANDLING PROCEDURES PHONE_ LATHROP CA 9533D 20E_-P_57-50P1 UUMU 7PER.SN, �s 209_957 9$1 m _ • J$iI Nd' rKS.Q CO'IQTAt:rPEFiSON _yam i ., � � SIGNATURE TT71 E" DATE M API r T r, i SIGMA �q/�J��11TTLE"' _7 RECEPAW FACILITY RECEIVING FACILITY - � ❑ SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ SLUDGE ❑ DISPOSAL SOI: ] WOOD ❑ TREATMENT SOIL ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ CONSTRUCTION SOIL p ASH 9999 SOUTH AUSTIN ROAD - ❑ DISaOSAL SOIL p WOOD ❑ OTHER -7r , L= MANTECA, CALIFORNIA 95338 ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD • GENERATING FACILITY ❑ OTHER S 1'-,O!Lc MANTECA,CALIFORNIA 9533E -_ o (209) 982-4298 PHONE GENERATING FACILITY (209) 982-4298 PHONE 5T (209) 982-1009 FAX (209) 9$2-1009 FAX _ I 7 NAME N6F{t£s( C I TRUCK NUMBER - _ NAME NOTES I TRUCK NUMBER ADDRESS -- - . t' - .LT^' jcLl^�7n1� 7 ADDRESS 4c 37E`�`' CITY STATE ZIP y _ CITY STATE ZIP PHONE END DUMP BOTTOM DLMP TRANSFER :l c- .. _ .. ) ✓� �I m ❑ ❑ PHONE END DUMP BOTTOM DUMP TRANSFER SIGNATULOF,APTHORIZED AGENT OR DRIVER JDATE ROLL-OFFS) FEAT-BED VAN MS DRU - ❑ ❑ ❑ _ ❑ ❑ © G SIGNATURE OF AIITHOR17EDIIAGENT OR DRIVER (DATE ROLL-OFFM) FLAT-BED VAN DRUI-AS €CUBIC YARDS FORWARD INC LANDFILL f - CUBIC YARDS Forward shall have ft oblrpabcn to accept the waste i weather or other I FORWARD INC LANDFILL ' conda,or4 rmpae the sale and elle^-the d>soosal of the waste a if the waste Forward shad have no oblgalgn to accept the waste d weather or other t "Parra#e sale artd eHectnre oo-shmt of Ite Landfill Forward shall toe DISPOSAL METHOD- (TO BE COMPLETED BY FORWARD) I conditms mpalr the safe end eheMme disposal of the waste or d the waste reasorable Rtbrls to prolhoW Wily Dtsuosea of t�tlabety to accept the j IDISPOSE 810 r AERATE�9=PUJ OTHER unpaas the sale and effeMrve CperaLon of the L>s A Forward shall toe DIS ETHDD' (TO BE COMPLETED BY FOR4u4RD) wash for arty reaaar M Forward a relusal 1a accept the waste 4 based on reasonable efforts.o wornptry notify OLsDmer of As Inabrlrty to accept the / "OSE BIC i AERATE SIDGj OTHER "a her or other she cerdGtona Forwary%fell natrly the Disposer vAwn site ❑SOIL waste la airy reason F Forward,rehoa}tO accept the waste 4 based on OMtldKVM are expected to charge stch that Foward-9 be able to accept i wealhe or Ot1w site cordaxm Forward shall SOIL • the waste n SLUDGE cordit0*4 are expected to charge such stat Forward roll be atter accept 1 REMARKS , �_% the wome ❑SLUDGE } ©NON FRIABLE • REMARKS FACILITY PtKET P JBER / �� ASBESTOS ❑NO SIE � SIGMA f �f ❑WOOD FACILSTY TICKET NUMBER r WOOD T ��DXTE ❑ ❑ASH 84G JRE OF AC�THdR1ZED'AGEN7 DTE I ❑ASH OTHER ❑OTHER SCHEDULING MUST 3E MADE PRIOR TO 4.00 PJA THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL LPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SCHEDULING MUST BE MADE PRIOR TO 400 PAIL THE DAY PRIOR TO EXPECTED ARRIVAL• ANY UNSCHEDULED LOADS ARE TO SCHEDULE CALL(202)882_4298 565E S SU SUBJECT T REFUSAL CALL(PON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE Y BEFORE MANIFEST M MANIFEST♦ JC GENERATOR COPY - GENERATOR COPY