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�. ���� _ NARDOUS WASTE MANIFEST <br /> WASTE <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> c tea'. REQUIREDPERSONAL•PROTECTIVEEQUIPMENT <br /> GENERATOR , k • .� /_ �� ,1 a <br /> ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADD 15 ,Ks � ❑TY-VEK ❑OTHER <br /> �O,f SI -7r• e.vF � K; SPECIAL HANDLING PROCEDURES: <br /> CITY,STATF�ZIPrte.. , r` i ':C�y,i��w t , , �, <br /> • <br /> PHONEG <br /> 7677— <br /> CONTACT <br /> CONTACT PERSON . ...E .,Is.'J rsyut�r { k ,ayti <br /> SIGNATURE OF:AUTHORIZ AGENT,/'TITLE'-" <br /> • WASTE TY E a a" n s R_ECENING FACILITY i_ <br /> ❑'SLUDGE FORWARD INC. LANDFILL <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS 9999 SOUTH AUSTIN ROAD <br /> • ❑ DISPOSAL SOIL [3-WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATINGFACILITY ""' `7 "; `< (209) 982-4298 PHONE <br /> (209)'982-1009 FAX - <br /> r9WUCK NUMBER_! <br /> u/ C , i! <br /> I ADDRESS, -, ' <br /> CITY.S ATE ZI :ri. ^ it :int l rm Y F <br /> t sem. <br /> wpi y_ k A- .3 _,MEND DUMP, Y BOTTOM DUMP TRANSFER'. <br /> PHONEp " cse ��.„ d ❑ <br /> nOUO Sl a ELpT❑BED },-; vO :T DRU❑MS.. <br /> SIGN U OFy U I. �. O D I <br /> CUBIC YARDS�v '�, � ' <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other �DIS� O - (TO BE'Cr0 �LETFORWARC <br /> conditions impair the safe and effective disposal of the waste or.if the waste , ED—BY <br /> impairs the safe and effective operation of the Landfill. Forward shall use = BEd `*"" a DISPOSE 810 AE. TE STOCK _OTHEF <br /> reasonable efforts to promptly notify Disposer of its inability to accept the v�f <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 accept E] SLUDGE <br /> the waste <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> fACILifY`TICI�ET.NMEI ; WOOD <br /> SIG RE OF�4U7J lORIZED w r il p; _ �'"a` 2',. `^ ❑ ASH <br /> -`47 <br /> A ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFC <br /> TO SCHEDULE CALL (209) 982-4298 MANIFEST # 11739 <br />