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u %Wo/ <br /> NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. /. <br /> r <br /> REQUIRED PERSONAL PROTECRTENSEQiERQ OR ❑ARD FIAT <br /> ..-0 � G ERATOR �:,;-, :���lL r'✓L � �– aGY�K DO���S Q <br /> U1.,r ��r <br /> o <br /> MAILIN ., DDRESS /oma <br /> SJ w !rte �•f- �� ,.�.� _ SPECIAL)-IANOLING PROCEDURES: <br /> PHON <br /> '2 m CRs N..1� .... ; <br /> SIGNMI6 e ,awl E'l <br /> E OF AUTHORIZED AGENT 1 TITLE DA <br /> TE. <br /> IGNA7RJ�� p1J!/2E{�' <br /> w * " RECEIVING FACILITY <br /> WA5 TYPE., <br /> ` o SLUDGE FORWARD INC. LANDFILL <br /> `! ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS 9999 SOUTH AUSTIN ROAD <br /> • [f'OtSF'OSAL SOIL p wood <br /> ❑ COt3STRUCTION SOIL OTAH <br /> HER MANTECA, CALIFORNIA 95336 <br /> (209) 982-4298 PHONE <br /> GENSRA0NC3 FACTLITY_;�. r' <br /> v� �Y u"� A (209) 982-1009 FAX <br /> l c `'` am <br /> NOTES_ TRUCK NUMBER <br /> 4 <br /> ApORE � /��y� /UHa�Ba. <br /> CIT`GSTATE,ZIP <br /> EN— D' DUMP ^�130TTOM DUMP TRANSFER <br /> ❑ VAN DRUMS <br /> 2 4 ROLL-OFFS) FLAT-BED <br /> SIGNATURE OF AUTHORI D AGENT OR DRIVER DATE' 0 ❑ p p <br /> W <br /> I� Cu ICYARDS - .. .. . <br /> FORWARD INC. LANDFILL <br /> u Forward shatt have no obligation to accept the waste if weather or oche* COM BY•FOR�AfARC <br /> DISPOSAL METHOD_..,. .(T <br /> conditions impair the safe and effective disposal of the waste or ff the waste O .yp7tiER <br /> impairs the safe and effective operatlon of the LandtlU. Forward shall usepOgE 810 AERATE <br /> reasonable efforts to promptly notify Disposer of its Inability to accept the ` <br /> W waste for arty reason. tt Forward's refusal to accept the waste is based on 16SOIL <br /> i weather or other site conditions. <br /> Forward shall notify the Disposer when site <br /> condH'wru ng <br /> are expected to chae such that Forward will be able to accept (] SLUDGE <br /> the waste. <br /> s NON-FRIABLE <br /> :.+ - ❑ ASBESTOS <br /> Fi1{GtLCLY,71CKET.NUMBER -' ❑ WOOD <br /> i <br /> W E OF AU1l,4ORIZED.AGENT ;:'. All C�' ❑�N <br /> ❑,OTHER <br /> u TO <br /> ct' FDULING MUST BE MADE PRIOR TO 4ADS i <br /> '00 P 11A P.M. THE ncDtAlvcA110R UST BE SCHEDULE WITH THE L.ANDFIL1-TME DAYO BEFC <br /> QT'J r`F- ifi rr­ <br />