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�. i i � � t� � � 1� � � llllllllllllllllllllllllll" i ORWARD NON-HAZARDOUS WASTE MANIFEST FORWARDNON-HAZARDOUS WASTE MANIFEST INCORPORATED VOZTE TREATMENT AND DISPOSAL FACL1T`Y INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. - JOB ACCEPTANCE NO. CSM - 4402 GENERATOR c _ _ _. REOUFtEDPEFWNALPROTECnVEEOL;FMENT r [:)GLOVES ©GOGGLES©RESPtlR/t7QR ❑HARD HAT ❑TY-VEX ❑OTHER JMES ff i Ao-rrST011 [)GLOVES ❑GOGGLES❑RESPIRATOR ❑HAADHAT MAG.9QGAbDRESSt — _ [)TY-VEK [)OTHER 0 q SPECIAL HANDLING PROCEDURES - - SPECIAL HANDLING PROCEDUREScrr.y + PF10N ° 31 iI + !tTHrO?, • CONIAL r PERSON - SK04ATURE 17t17ff-^ JA �- r ��_ a3o SIG SLR _ AGENT ZTFiE DATE -- / / RECEIVING FAGLITY � I yWisiE RECEMNG FACILITY ❑ SLUDGE Y / © TREATMENT SOIL ❑ FON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ SLUDGE • © DISPOSAL SOI ❑ TREATMENT SOIL ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILL CONSTRUCTItT"15011 ❑ 9999 SOUTH AUSTIN ROAD © ❑ ASH ASH + ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑CFrHER STS, - MANTECA, CALIFORNIA 95336 ❑ CONSTRUCTION SOIL ❑ ASH • ❑ OTHER _ _ - - MANTECA, CALIFORNIA 95336 GENERATING FACILITY (209)982-4298 PHONE GENERATING FAMUTY 4 (209) 982-4298 PHONE _ _- .- T_ -T (209) 982-1009 FAX (209) 982-1009 FAX "- r T ''f.P NAlAa NOTES��r LTRUCK NUMBER NAME NOTES TRUCK NUMBER ADORES rTZf- r -L-Cl TP Y5 .�L'�31� InI-7 7 F rY 1 r)YJ I t ADDRESS - " _ . CITY STATE 21P D V. I F,4r r _z- CITY STATS ZIP _ ?_,IT, A �"co �c 7�'O _o _ ✓ ^I PHONE 1 � END DUMP BOTTOM DUMP TRANSFER Y PHONE -`^f — V END DUMP BOTTOM DUMP TFMNSFER "f y R C ©n ❑ ❑ 'r q-`.7 P_l i n n gX ❑ ❑ S1r,NATURE OF A�]THORI7ED AGENT OR DRNER i DATE ROLLiS] FLAT-BED D©S StGNATIJFiE OF AUTH9rtEZED1AGEtJ n_QR DRIVER JDATEE ROLL-OFFS} FLAT-BED VAN DRUMS _� - ��' © ❑ ❑ ❑ FORWARD INC LANDFILL CUBIC YARDS CUBIC YARDS Forward shall have no obpaton to aast oceot the waste if Heather or offer FORVNARD if C LANDFILL r� cordnlons 1moair the sale aw eneotne disposal of the waste cr rl the waste DISPOSAL METYOD (TO BE COMPLETED 9Y FORVMR0) Forwaard&no have no o°tyaton to cceept the waste If wasther or other ! i wmalrs the sate ark!etteLue operator of the LaroLll Fof r shall use .� DtSPOSE 910 AERATE SUrAPLE OTHER condthons mtpan the sate and effective deposal of the waste or a the Haste ETED 8Y FORVIIARDy reasonable efforts to promptty notify Dlspeser of as maNfity to accept Vie inprrs athe ris,ax etfem+e opertatm of the Landfill Faw'are alta use DISPOSAL METHOD (TO BE COMPLETED waste ter arry reasor 1f Forwards refusal to accept the waste a°alias on 1L reasonebe efforts-o Prorr.-try notd/Doppler of Its sabMy to omiftl the POSE BIO AERATE€510 OOMEl OTHER weatneT a otneT snr cor6ho s I-orwaro shall notify the Disposer when site waste few any reason If Porwardz irotusal to accept the waste is based on conoaons are expected to charge such that Forward will be able to accept veather or other ane rax,afcns Fnward anau notify Hw D amw when ante SOIL the waste ❑SLUDGE xmddore we expected to Gfanpe ach that Ftxwand Hn71 be able to accept + REMARKt . i� the waste - ❑SLUDGE �' ❑ASBESTOS` REMAIM, NON FAABIE woDDa F, L ry TICKET NLIfd6 , __ _ ,,t ❑ T7 NU ASBESTOS / ❑ F I ❑ D A, NT OD >G"1URE OF�{TiHOR MOD I ASH SI NA p '� mr I � ✓ 1�U � �� iF � OTHE ..�- ❑ R i' /! - ❑ASH /v ❑ - ❑ :M OTHER SCHEDULING MUST BE MADE PRIOR TO 4 OD'P M THE DAY PRIOR TD EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE ^ SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WfTm THE LANDFILL�6 5 DAY BEFORE %C"E41ASHG M=- BE MADE PRIOR TO 4 OD P N THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE TO SCHEDULE CALL(209)PB2-4298 MANIFEST I SUBJECT TO REFUSAL UPON ARRIVALONGOING DAILY DELIVERIES MUST BUL E SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)982.4298 MANIFEST. 56,596 - GENERATOR COPY