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� NOfHAZARDOUS WASTE MANIFEST <br /> WASTE Tf TNIENT AND DISPOSAL FACILITY <br /> INC. � 7ANCE NO - <br /> JOB ACCEP . <br /> GENERATOR REOUIRED FtERSONAL PROTECTIVE EQUIPMENT ;� <br /> _— "riN - GLOVE R <br /> _ ❑ S ❑GO ES ❑FIE _ —]HARD <br /> GOGGLES <br /> SPlRATOR D HAT <br /> MAILING AflaRESS � ❑.TY VEK ❑OTHER <br /> . _ �I• <br /> .CITY STATE ZIP " " r �� - SPECIAL HANDLING PROCEDURES: <br /> >-. <br /> ' k� - . <br /> PHONE: � =i. � �"•� �:� �; � � � <br /> CONTAC PER N " <br /> SIGNATU OF . T OFRI — AGENT/:TITLE_ DATE <br /> - Lm. _ ._ <br /> Nei 00 <br /> . - <br /> 1l11AST1=T'. K. -; RECEIVINGAClLITY .L " <br /> F <br /> ❑ :SLUDGE a kh <br /> TREATMENT SOIL x ❑ =NON-FRIABLE ASBESTOS FORWARDINC..LANDFILL <br /> DISPOSAL solL ❑ Wooa ,99"99-SOUTH_AUSTIN.ROAD <br /> [] CONSTRUCTION SOIL ❑ ASH f <br /> .. ;: El:_:OTHER <br /> MANTECA CALIFORNIA 95336 <br /> 4 '"Ji <br /> CtiENERATINGFACtLITY ,, t (209.) 98:2,=4298 PHONE <br /> X209) 982- 1009 FAX <br /> 4 <br /> !NAME. x , . n <br /> . .; :' . NOTE s <br /> TRUCK NUMBER . <br /> _ <br /> ------------ p <br /> ADDRESS . l <br /> t � V <br /> . CITY STATE,'ZIP w <br /> . ` .. <br /> x vq ENS( UM .P <br /> PHON .: � F r ` , _ . BOTTOM DUMP TRA '. ; <br /> h f <br /> `w NSFER <br /> �E. � ;'" FLAT':BED .VAN?' pR S, , <br /> 'SIGN A RE: IZED AGENT OR DRIVER n :DATE.:. ROLL-O,. (S). <br /> k CUBIC ARt a .:,. .. .m�.`:�` <br />� - FO- ARD:INC. LANDFILL :.. '- � _ <br /> Forward shall have no obligation to accept.the waste-if weather or other. - <br /> conditions.impair tf�e safe'and effective disposal of the vraste;or if the waste pISPOSAL.MET_OD:i1'4 BE.COMIPLETED BY FORWARD): ' <br /> f the Landfill. rbfward shall use <br /> �impai�s the safe,and ,effective operation o e q <br /> reasoroatile effortsto promptly of Uispose`r af=i4s'Ir�ai�ilit"ta,-acce t.the DISPOSE BIO AERATI STOCKh1L : OTHER - <br /> I waste for any reason.1f Forward's-refusal'to accept%the-waste is based an ❑ SOIL �c � <br /> weather or other site conditions,Forward shalknotify the Disposer when site <br /> V. <br /> conditions are expected to change such that Forward will be.able to;accept <br /> the waste. 'I' E] SLUDGE <br /> i <br /> REM;4RKS <br /> NON-FRIABLE <br /> r .� .,�wm,d ❑ ASBESTO_S -� r 3 <br /> E' W(5ILfTY`ICKE f NUMB al <br /> _ _ ❑ WOOD <br /> 4E�DF AHO CZE AGENT- <br /> SIGNATUETE e� <br /> ASH <br /> l l' <br /> OTHER <br /> � s r ❑ 1 <br /> . 5 ING'MUST BE MADE PRIOR TO 4:00^P.M.-THE DAY PRIOR TO:EXPECTED,=ARRIVAL a ANY UNSCHEDULED LOADS ARE <br /> ATO SCHEDULE CALL(0952-4IVA ONGOING DAILY DELIVERIES MUST,BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. E <br /> `; MANIFEST# 43382 <br /> " " GENERATOR COPY :_ <br />