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�ORWAW — NON—HAZARDOUS WASTE MANIFEST r UtC WhKil NON-HAZAHDUUS WAb I t:M*Iftb I INCORPORATED NpIwSTE 7REATMM`NT AND DISPQSAL FACILITY I N C O R P O R A T E D +O-sTE T TAAHD DISPOSAL FAILITI JOB ACCEPTANCE NO. JOB ACCEPTANCE NO. 4 r pGLovEs ❑GOGGLEspRESPIRATOR ❑HARD HATt�-� ❑TY VEK ❑OTHER JAMES-1I S T N ❑GLAVES ❑GOGGLES©RESPIRATOR ©HARD HAT jo HALM PTY VEK ❑OTHER SPECWL HANDLING PROCEDURES P 0 BOX 9 7 p CITY SPECIAL HANDLING PROCEDURES * LATHROP,C,Ar 95330 209-957-5991 i F JA PI aEiltCKI[�`I --- r�_t SIGNATURE /WEE -Y1JlTF - ---------------- f❑ SLUDGE— N _ RECENING FACWTY e y❑ TREATMENT SOIL ❑ NDN-FRIABLE ASBESTOS FORWARD INC LANDFILL TREATMENT SOIL p SL FRIABLE ASBESTOS FORWARD INC LAI`v ❑ DISPOSAL SOIL ❑ w00O ❑ DFILL p CONSTRUCTION SOIL I� ASH 9999 SOUTH AUSTIN ROAD - © DISPOSAL SOIL ❑ wort ❑ 1 Lz OTHEF �-t°TL= MANTI<CA, CALIFORNIA 95336 © CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD GENERATINGFAGILJTY El OTHER --- MANTECA, CALIFORNIA 95336 LAa';STDr''S 0,:T P TAC (2Q9} 982-4298 PHONE GENERATINC FACILITY r _5c.5 SEI'=rJ—~ ST y (209) 982-1009 FAX „ _A '—=Tl sa_- (209}582-4298 PHONE LA—)ROD,C. _ _ _ '— IT- —TT (209)982-1009 FAX NAME NOTES TRUCK NUMBER R:C i -aMILTO TrtUL'T'IC [3 !3$7 P'AhlE NOTES T TRUCK NUMBER ADDRESS � ��t 7-]- -A TILT'?' T;;L1C;"'C �L� ADDRESS 1335 aA"LIN: A' c L]S] 1 '. _ �,,.i .CITY STATE,ZIP _ - f100 2T], CPS 5_z3 I V t/S/5 �I CITY STATE 7JP _ PHONE END DUMP BOTTOM DJMP TRANSFER c S^> S ' S=— 1 n :r c_c ]_ -C- ❑ Q ❑ PHONE END DUMP BOTTOM DUMP TRANSFER SIGNATURE OF AUTHORIZED AGENT OR DRIVER JDATE ROLL OFF{S) FLAT-BED JAN DRUMS n © ❑ ❑ 77 ❑ E] ❑ r_ SIGNATURE OF AUTHORIZED AGENTORDRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS FORWARD INC LANDFILL CUBIC YARDS — FORWARD INC LANDFILL CUBIC YARDS j =orwa+d shall here nooblgatron to accept the waste d weaflrer a ottkr '(17 I 1FACILITY ondltnrrs In W the date and abec[we deposal of the waste or d the waste Forward shall have no Oblgatan to adept the waste d weathef w other 7� � DISPOSAL METHOD LTD 2E GOIrIPLETEO BY FORWARD),parc the sate and effeciam Operation of the Landfill Forward shag me corid,tfons Impair the sale and effectr a disposal c'the waste or a the waste DISPOSAL M—.wo- asonabie afforts to prompty noidy Dowser M Its Inability to accept the / FOSE BIO I AERiRE71-,c irna.E OTHER armairs the sake and ellectne operatrdn of the Landfill Forwarb II use (TO BE COMPLETED BY FORWARDf aste for any reason fl Forward s mtusal to accept the waste is based on waste elloru to pranbtly notify Deposer o1 Ks Irodkty to accept the pSFOSE1 BID AERATE Iffi0[yaieE OTHER f eattlw or Other$ae oon.Mions Forward shad rotlty the Disposer when site SOIL I waste Ir ary mason H Forward a relusal to wcepf the waste 6 based on ondrtrons are expected to cnanpe swh th]'Forward was be able to aocepl weather o Other sae condafons Forward shag rorty the Dwmr when efts it ' e waste c"tiohs are expected to SLUDGE targe aLOh that Forward wnll be able to 011MARK tre waste ❑SLUDGENON-FRIABLE REMARKSF:ER OS NONFIOSLL TIOK)-TNUMBER FAC ILITY,7fbKET�ER NATUFg Of/ALRfIDRIZED AGEIPY TES ❑WOOD J SIGISATU 0FjAUTHORIZED)kbENT DATEASH i Itoldx _ �tI_. ti ©OTHER I I SCHEDULING MUST BE MADE PRIOR TO REFUSAL NM THE DAY PRIOR EXPECTED ARRIVAL rUNSCHEDULED LOADS ARE • SUBJECT TO RSAL UPON ARRIVAL.ONC3ONOING DAILY DELIVERIES MUU ITH THE 8E SCHEDULED WH THE LANDFILL THE DAY BEFORE SCHEDULING MUST BE MADE PRIOR TO 4,00 P.M THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE TO SCHEDULE CALL I209)eat 4288 MANIFEST F 50 S J TO JECTDMi ULE REFUSAL UPON CALLUDO gARF ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE GENERATOR COPY MANIFEST. 56591 GENERATOR COPY