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�A�O +-� NON-HA74RDOUS WASTE MANIFEST <br /> WASTE IV-WATMENT AND DISPOSAL FACILITY <br /> /NC. JOB ACCEPTANCE N0. <br /> 1 . 511 - <br /> 1 52/ <br /> GENERATOLJR.�- y REQUIRED„PERSONAL PROTECTIVE EQUIPMENT <br /> aTrCjCJ ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAIG ADDR/E�SS �- , ❑TY-VEK []OTHERTv ' 4PoOX SDcfS <br /> CITYSPECIAL HANDLING PROCEDURES: <br /> • PH r1_ I Gcmon� CA .,QU5a <br /> CONTACT REASON <br /> lira ncl on-Ho r._u's <br /> SIGNATURE OF AUTHORIZED AGENT—.SLE <br /> • WASTE TYPE h c RECEIVING FACILITY <br /> . ...- t <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL p NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> — • [y CONS SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> - • GENERATING FACILITY '-:- ,,, ,k _;_ 0 . (209) 982-4298 PHONE <br /> Paci-f 1c t3e < < <br /> Do r, jgn-t M1 le good (209) 982- 1009 FAX <br /> ' FOGK <br /> NAME m_ sn-. ^,;,a. g :..:•..2 ., ,.,, ,�;, s4_; <br /> .;.�__._ :a=� .�.._,,_ :.MUCIC NUMBER <br /> Cct1?al►cro SpslS3 <br /> ADDRESS <br /> 2530 tae ss� (�0o X527 <br /> . CITY,STATE,ZIP <br /> ,San,.SoxCi� si3Z <br /> PHONE ” k:a ND D P :BOTTOM DUMP : ,':. .TRANSFER <br /> SIGNAA. RE OFA - ZED-- -NT R DRIER- DATE --'ROLL-OF Sj_ BED - Yom" DRUMS= <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cypic YMOS <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 FORVINRD) <br /> impairs the safe and effective operation of the landfill. Forward shall use q ,: ,. ... ;.„.. - ,.._ <br /> reasonable efforts to promptly ratiry Disposer of its inability to accept the - ,.DISPOSE BIO AERATE R - <br /> waste for any reason. If Forward's refusal to accept the waste is based o ` <br /> weather or other she conditions, Forward shall ratify the Disposer when sitf? SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> • REMARKS"" <br /> -`-. NON-FRIABLE <br /> .w ❑ ASBESTOS <br /> FACILITY <br /> ❑ WOOD <br /> SIG NA E OF QR I D - •-: DA <br /> �C � � ❑ ASH <br /> �j ,„ ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR T6 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 MANIFEST # 3066 <br />