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/' % IVAN" `°�`" NUN-NALAHDOUS WASTE MANIFEST <br /> Ti"• WASTE ' "ATMENT AND DISPOSAL FACILITY�l JOB A6CEPTANCE N0. <br /> GENE TOR. . <br /> AEQUIRED�ERSO�W1,_PROTECTNEEQUIPMENZ <br /> ❑GLOVES ❑GOGGLE <br /> MAILING ARES EI RESPIRATOR El HARD HAT <br /> ADDRESS ❑TY-VEK ❑OTHER <br /> P_D Box 50 5 _ <br /> CITY S1ATE ZIP i - _ SPECIAL HANDLING PROCEDURES: <br /> PHONE <br /> crsoN; - NU NE <br /> rccnd�n l-Tar_r_r_s <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> ' WASTE TYPE ,,_._._ Y RECEIVING F ILffY ;.. `. <br /> ❑. <br /> El SLUDGE <br /> TREATMENT SOIL ��-�-- <br /> • Q DISPOSAL SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ` ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> Pa c i-f',c Pie � � y .,_� . <br /> 300 f� ht r r 11 I c �v�d (209) 982- 1009 FAX <br /> 5+vc��vn C q <br /> NAME <br /> Cab a Ile ro :_NgTEs m" " ' ^ .�.,TRUCK NUMBER <br /> _..�,___ ._ <br /> ADDRESS 2V/'/ �d <br /> O leer (�2ss� �l <br /> • CITY,STATE ZIP e( FTO/ <br /> -cn JOS, CA 5r3,y <br /> PHONE r � END D P� BOTTOM DUMP : ,TRANSFER <br /> C4 � 7ZG-0r9�o - - <br /> SIGNATURE QF AUTHORIZED AGENT OR DRIVER F DATE ROLL-0FF�S3FLe7-BED❑ <br /> FORWARD INC. LANDFILL cuslc vARos , <br /> Forward shall have no obligation to accept the waste if weather or other 7 <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY FpRWARD) <br /> impairs the safe and effective operation of the Landfill. For shall use <br /> reasonable efforts to notify Disposer y p „z <br /> promptly roti Dis ser of its inabilit to accept the i r. SPOSE .Q�p.. AERATE SfpCgl __4E ER <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions, Forward shall notify the Disposer when sit <br /> ' conditions are expected to charge such that Forward will be able to ac t <br /> • the waste. T SLUDGE <br /> REMARKS - .F t . , . u [I <br /> ..u. .....ate`.. <br /> ❑ NON-FRIABLE <br /> FACILfTY � - ASBESTOS <br /> WOOD <br /> SG SIGNA RE DAG j1 ,7� ' <br /> ❑ ASH <br /> OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO/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 O <br /> MANIFEST # <br /> SALES COPY <br />