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�--- NON <br /> WARD -HA7ARDOUS WASTE MANIFEST <br /> /`i _ WASTE l,,,ATMENT AND DISPOSAL FACILITY <br /> 0p JOB ACCEPTANCE N0. <br /> GENEljk ITQR REQUIRED�ERSONAL-QROTECTNE EQUIPMENT_ <br /> f' Q❑GLOVES ❑GOGGLES ❑RESPIRATOR -OHARD HAT <br /> MAILING ADDRESS ❑TY-VEK [:]OTHER <br /> P1-- )---- ---&-x scrS <br /> CITY _ �p- '- G "T" •° °c" '� �' SPECIAL HANDLING PROCEDURES: <br /> A 614'5b3 <br /> PHONE ss m <br /> CONT CTP N . `� <br /> l�ru yr Hc+tr(5 _ <br /> SIGNATURE OF UTFIORIZED AGENT/T_ <br /> • WASTE TYPE ": - :may .;,. RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • E31DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH ASH <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 23ov C Ind m I lc � d - 1009 FAX <br /> (209) 982 <br /> NAME �a�1 NOTES;-'_: - STRUCK NUMBER <br /> Frk7. <br /> % 530 �t�je r essa h 27 f FT 534 / <br /> L o <br /> .CITGY,STATE ZIP <br /> a n <br /> • PHONE _;END D P iE;-` O�TTO❑M DUMP . TRNSF_ER . . <br /> ❑ <br /> SIGNATURE OF AUTHORRED AGENT OR DRIVER DATA = ,:RO L-0FFjSC,, ,,FLAT-BED �DRUMS , <br /> �_ . . - 1y ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cueic,YARDs <br /> Forward shall have no obligation to accept the waste ifweather or other r' <br /> conditions impair the safe and effective disposal of the waste or if the waste SAL METHOD: :::-tT0 BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the landfill. Forward shall use DISPOSAL O ,� <br /> reasonable efforts to promptly notify Disposer of its inability to accept the °`f:' ': SE -,BIO AERATE <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall ratify the Disposer when sitQ- SOIL <br /> conditions are expected to change such that Forward will be able to acc <br /> • the waste. ❑ SLUDGE <br /> • REMARKS "' <br /> C ❑ blON-FRIABLE <br /> .. , <br /> FACILITY TI oCET NUMBER :.-- _,rR F /ASBESTOS <br /> ❑ WOOD <br /> SIGNAWRE OF 9 ZED.A j�NT 77177 ATE , - <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:000.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 # 3057 <br />