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-PP-MOV� MENOMONEE NDN-HAZARDOUb WAS I t MANIM:b I NON-HAZARDOUS WASTE MANIFEST INCORPORATED AND DISPOSAL FATTY ��O Z TURD INCORPORATED WA,S"TE TREATMENT AND DISPOSAL FACILITY J JOB ACCEPTA14CE NO. JOB ACCEPTANCE NO. CMM— -� GENERATOR — .REQAHEM GLOVES DOGOGGGLES©RESPlFiA30R ❑H0.iiDHATI )PrrcS LA1'G$T7i� �- ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT —MAAjNGY MA0.1NG ADDRESS�, yF _ _ ❑TY-VEK ©OTHER I/ CCf p SPECAIL HANDLING PROCEDURES e 0 5O" P7. SPECIAL HANDLING PROCEDURES • Lj!JIRD LlTY SFATEZIP'_ FH CINE�_ • L�TNiSDP C A 05''3C PHONE 2DCONL44TpER5 7 Pf E_ r �' nc7 QrF JAN JH LK=Nl _ CONITGTIPERSON SIGNATURE I G0.TE' it, --- SIGNATURE /ITTLE * i .- �y7 RECEIVING FACILITY N,DSP,TE REGEN9JG FACILITY El SLUDGE ❑ SLUDGE ❑ TREATMENT SOIL p NON-FRIABLE ASBESTOS FORWARD INC LANDFILL (] TREATMENT SOIL ❑NON-FRIABLE ASBESTOS FORWARD INC LANDFILL • Ll DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD • ❑ DISPOSAL SOIL ❑ wOOD 9ggg SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL p❑ ASH HER S ❑ CONSTRUCTION SOIL p ASH T9C<0TTLr: MANTECA, CALIFORNIA 95336 ❑ OTHER -- MANTECA, CALIFORNIA 95336 GENERATING FACILITY _ (209) 982-4298 PHONE GENERATING FACILITY (209)982-4298 PHONE -`r` (209)982-1009 FAX - (209)982-1009 FAX NAME NOTES TRUCK NUMBER NAME NOTES I TRUCK NLiMBER ADDRESS y _ ADDRESS _ +' - - CITY STATE ZIP \- ^ FL#'t `r L�'A r ? trv:`'--, CITY STATE ZIP PHONE END DUMP BOTTOM DUMP TRANSFER END DUMP BOTTOM DUMP TRANSFER ❑ ❑ ❑ PHONE- - ID ❑ ❑ SIGNATUREOF AUTHORIZED AGENTTAR DRIVER DATE, ROLL-OFFS) FLAT-BED VAN DRUMS SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS * J --r j{ �r !� © ❑ © Cl FORWARD INC LANDFILL CUBIC YARDS FORWARD INC LANDFILL 0UERO YARDS i Forwarrl sW how no obligation to accept the waste d weather or other conddons impar the sate and Lhectwe disposal m the waste or d the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) FVward Shan line m abliplion to accept Me waste g weather or other � ripaes me We and affective opera"of the tardsH Forward shall use corddons ergaa the safe and eftedwe dmosa of the wume or d the waste reasonable ettorts td prumptN rvttfy Deposer of As nabUy to accept the POSE BIO AERATE 570(:16`1: OTHER dnpass the este and eHecave operators p the lardhs Forward stall use DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) �^� reaspnabie etkNu to prdnpty nopy DaDoser of its maWy to accept the MO AERATE IMDTLEI OTHER waste a' nor HfimsForwards rw rd to accept the waste r hued on SOlL wea[11e or pher wte Conddon5.Forward shall rgLty the Disposer Wien wte wane Ip any reason.H Forward s refusal ro accept the waste u based on condavu are expected to change such mat Forward will be sW to weather Or peer age oonddnns Forward•Rall no*the Dreposer when arse ❑SOIL r the waste ❑SLUDGE r wrddcns are expected to ctmW aud+mat Forward wu be able tO accept -- • ttle waste _ _ _ _ ❑SLUDGE E REMAPKS NDN-FRwBi.E R,EMAFtK$` _-` ,- _ _ ."'` .. .. ❑ASBESTOS -� `�- '_ — '-�" - ❑NON FRIABLE FACILITY TICKET N�ER FiAmay TICKET NUMBER'" - - —» ASBESTOS E)WOOD - �_�� r �;- C]WOOD S GNAT FC OF AUTHORIZED AGENT J DATE ,VgNATORE OF AUfH0R7- AG fjt D"� �• 3 / ASH / ` _ ❑ASH OTHER -► � ` `� v �—� ❑OTHER SCHEDULING MUST BE MADE PRIOR-,FO 400 P.M THE DAY PRIOR TO EXPECTED ARRTYAL a ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO E%PELTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE ONGOING DAILY DELIVERIES MUST SE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)982-4208 SUBJECT TO REFUSAL UPON ARRIVAL MANIFEST 0 56587 1`0 SCHEDULE CALL J2001082-4298 MANIFEST r 517 58 6 I GENERATOR COPY