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NUN-HALAHUUUS WASTE MANIFEST <br /> WASTE T 4TMENT AND DISPOSAL FACILITY <br /> ItA/C" JOB ACCEPTANCE N0. .5/ <br /> �r 4ti�• - 52 <br /> GEN��,,MRr ,a" ) o v. REQUIRED�ERSQNAL PROTECTIVE EQUIPMENT <br /> _ _ ❑GLOVES [I GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS []TY-VEK []OTHER <br /> CRI;STATE_SOX ZIP SPECIAL HANDLING PROCEDURES: <br /> • <br /> PHONEan . ltY�c�n._,Cl� x583, <br /> CONTACT SON �� , <br /> �r�tnOFdvnE <br /> +Girrrs NONE <br /> SIGNATURE AUTHORIZD,AGENT/TRLE DATE <br /> - U <br /> ' WASTE TYPE RECEIVING_FADIUTY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ,� • ❑ DISPOSAL SOIL <br /> ❑ CONSTRUCTION SOIL ❑ �D 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY (209) 982-4298 PHONE <br /> s t�„'S f M,t e, toad (209) 982- 1009 FAX <br /> NAM, w za"s NOTES rz.. TR___ NUMBER <br /> ADDRESSo <br /> l <br /> a�3 ►3errs mss? !` /5S3 <br /> . <br /> CI"v'STAn-TE ,_ <br /> SDse CA SI <br /> PHONE f x Z <br /> UNDDUMP ='' `80T7DM DUMP TRANSFER_ <br /> _ _ ❑ ❑ <br /> SIGNATURE OF AUL IZE GENT DRNER " DATE +_ — — <br /> _ {iOLL-OF��8,•t-' -BED ;;VAN __,.D_RUMS--- <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBICYA7 )- <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD:", (TO BE COMPLETED BY FORVIIARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the v 8POSE BIO 11ERATE ;.QI}fER <br /> waste for any reason. If Forward's refusal to accept the waste is based on SOIL <br /> weather or other site conditions,Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to acc 1 <br /> the waste. ❑ SLUDGE <br /> • REMARKS <br /> . ` "" "�'" ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY K NUM j.~� _�y _ - <br /> ❑ WOOD <br /> SIGNA R OF_A " ORI A f _ DATE. <br /> ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIORfiO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (209) 982-4298 3064 <br /> MANIFEST # <br /> SALES COPY <br />