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G �/� �/� NON-h>.�ARDOUS WASTE MANIFEST <br /> f'f D.I WASTE TREATMENT AND DISPOSAL FACILITY <br /> /NC_ J06 ACCEPTANCE N0. <br /> GENERATO REQUIRED PERSONAL PROTECTIVE EQUIPMENT` <br /> � TS� ❑GLOVES GOGGLES ❑RESPIRATOFI ❑HARD HAI <br /> MAILING ADDRESS "- yy, J Hff• „ .{ °� ❑TY-VEK ❑OTHER <br /> CITY,STAT ZIP ;m s dk „ ;; "4 Tit SPECIAL HANDLING PROCEDURES: <br /> PHONE <br /> • CONTACT PERSON'" <br /> 7i <br /> SIGNATURE OF AUTHO IZED:AGENT/�11TLE 7 DATE ' r <br /> �'G <br /> WASTE TYPE RECEIVING FACILITY, <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL. <br /> • ❑ DISPOSAL S9999 SOUTH AUSTIN ROAD <br /> ❑ <br /> CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING;FACILITY 'srzx trJiM (209) 982-4298 PHONE <br /> (209) 98271009 FAX <br /> NAME _ 4r a� f' - y ' O 5, ._ TUNUMBE[3s <br /> x <br /> C) <br /> ADDRESS i <br /> -_. o <br /> . CITY <br /> ..i <br /> .1� r y,.�� E�IDDUMP' s8OTT0MDUMP NSFER: <br /> SIGNA7 RIZED AGENT OR DRIkF�yi�. 'DA,-,y OFA$): EVAN D�iUMS <br /> FORWARD INC. LANDFILL CUBICxYARDSrRl ,� I <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 OSALPHODt "{TOLETED:BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use DISP B- <br /> ECOMP <br /> reasonable efforts to promptly notify Disposer of its inability to accept the dit,+, K2p;DISPOSEBIO.". AERATE JSTO`CKPILE ',OTHER... <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 <br /> • the waste. ❑ SLUDGE <br /> • .Jffl <br /> �i€, ". -, <br /> NON-FRIABLE <br /> FACI .. a1�1MBE. ` .:_ sr� L !};.. ;ss? ❑ ASBESTOS <br /> }� WOOD <br /> ❑ ASH <br /> —Cl ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS AR <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORI <br /> TO SCHEDULE CALL (209) 982-4298 AAANIFFCT * 11711 <br />