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�� w� w. �� waw � �� •� � YYAK - - NON-HAZARDOUS WASTE MANIFEST - r- C O R P O R A T E D YPSTE TREATMENT AND DISPOSAL FACZJry JOB ACCEP'T'ANCE NO. FORWARD NON-HAZARDOUS WASTE MANIFEST INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY JAMES N LANGSTON []GLOVES []GOGGLES RESPRAToR ❑HARDHAT JOB ACCEPTANCE NO. CMM — 4402 ❑TY VEK []OTHER P OL BOX 97 GENERATOR _ _ �x _ .� � REOl3FEDTOISONALfFtMCTNEE(YJMEHT - SPECUILHANDLING PROCEDURES A' ES ^LAf'"rBCN ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD LATJgOP CA 95330 MAILING ADDRESS_ __ �,- �._ CTYVEK ❑OTHER C ft", ' ' = SPECIAL HANDLING PROCEDURES 209-957-5481 txTYSTAmzp • :Tr =Np Cl_ 2523r JAI HE C&68N PHONE - SI[iNUIIFIE _ r - - �• _- �{ CONTACT PERSON ^• f/ / "' H-- 'Fjd7'� R-ZGEFVING FAC6.ITY_ _ SIGNATURE[]BIHOR i4T 17%E IRATE I © SLUDGE ❑ TREATMENT50fl- ❑NON-FRIABLE ASBESTOS FORWARD INC LANDFILL - WASTE TYPO RECEIVING FACILITY p W?OSAL SOI, ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ SLUDGE ❑ CONSTRLICTIOLJ SOIL ❑ ASH i * OTHER STOCKPILE MANTECA, CALIFORNIA 95336 ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL - p DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD FAGLfTY (209) 982-429$PHONE ❑ CONSTRUCTION SOIL ❑ ASH GENERATING - ry -` GST 'I'S sa_T $g7SS'a sc = V E) OTHER - _ MANTECA,CALIFORNIA 95336 L 1!S!5 S= 'E IT91 ST " (209)9$2-1OOp FAX • GENERATINGFACIU7Y (209)882-4298 PHONE LATHRJP, CA 'T: 1 -- t" _- NIJnlE NOTES TRUCK NUMBER (209) 982-1009 FAX -err ADORE y4 liA7.ILTGN TRUCKIriG q�3 13 7 4 r �• gE NOTES Z� TRUCK NUMBER.CITY�ZIPOAULINE AVEA`.'E L]r3 u 1"' _ I �� -Gj ADDRESS Y sOCESTO, .0.5355 PHDN� END DUMP BOTTOM DUMC TRANSFER CITY STATE.ZIP - S*NA'U� O};Wd&D AGENT OR DRIVER JDATE ROLL$ftF(S) FLAY BED `AN DRJMS PHONE END DUMP BOTTOM DUMP TR ANShT-I, * w K / ^x'-45 ❑ ❑ ❑ ❑ c__7,-Z,lj ©Y ❑ ❑ SIGNAT UFr OF AUTHORIZED AGENT OR DRIVER I DATE ROLL-OFFS) FLAT BED VAN DRU), YARDS YA _ , ,y i-�,— ❑ ❑ ❑ p FORWARD INC LANDFILL CU4 Forward.has ha,,e no*bphon to swept the waste d weadter or other I condnwa°r'palr the sal•am ettectn'e d�spesaf of the waste or d the w. DISPOSAL METHOD' (-0 BE COMP'.ETED BY FOR'AARD) FORWARD INC LANDFILL CUBIC YARDS the safe ane a"ectm Operatten c-the L3nd6lL Forward stall use I reasonatie efforts to proTooy rml, Demser of as arability to swept the POSEI BIC AERATE S'UCIfPo.E OTHER waste for"reason h Forwards mkza'to axeat the waste a baud M I FO,m4 shall have n0 abhpaton tp accept the waste d Heather or Otlrer weather or other W condmons Farward shad rcd ty the Daposer wfm m ❑Spii I cords on,m pal the safe and chest ve b soosar of the wore r d the waste DISPOSAL METHOo- (TO BE COMPIE EDB SORV444R Mnpalrs the sale and ehedl %eratm Of the Landfh Fv arJ"IJ ase ovddens are axPeced to=rqe asII that FeraarY wth be ab*to acct~ _ SPOSE BIO AEAATE ISTOpU'ILEf CrkER reasoruMe efforts to promptry rotdY Dmposer M na rtabdny t0 aCCePI the are.43* ❑.^,LUDGE waste-7 arp reason tl Forward s refusal to swept the waste is basad on • REMARKS weather Or other sne Oorrda O s Forward deb rtc0ly the Deaoser when alte Q L NON-FRABLE I mord Iv*are eznected to oraeach ch that worwardm h be able to'swept ❑ASBESTOS t�wee ❑SLUDGE FACILITY T'CKET NUMBEF • REMARKS ❑WOOD - •» µ"r� ,i•� .....:s-r- NON FRIABLE SIGNATURE OF�AUTHO�r , , J DATE ASH4 FACILITY TICKET NUMBER M- ❑ASBESTOS WOOD - '� - ❑OTHER SIGNATURE-0F AUTHORIZED^ DATE- �` — ' r ❑ASH SCHEDUI3NG MUST BE MADE PRIOR TO 4.00 P M THE DA); PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE *_===� � � ` -31- f ❑O:THER SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED VgrT l THE LANDM-L THE DAY BEFORE TO SCHEDULE CALL(209)982-4298 MANI-EST r 56592 SCHEDULING IMUS—BE MADE PRIOR TO 4.00 PA THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFO GENERATOR COPY TO SCHEDULE CALL(200)982-4298 MmFEST« 56583