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pD NOWHA2,.,,�DOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. Gm m - la 9 <br /> GENERATOR„��II�j�-�— - `/ ,, REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 54D �'D/” Tf�..-�jt/ >�_ [:]GLOVES ❑GOGGLES [:]RESPIRATOR ❑HARD HAT <br /> MAILING/A/ DRESS- [:]TY-VEK [-]OTHER <br /> IYOO RCj SPECIAL HANDLING PROCEDURES: <br /> CITY, STATE, <br /> PHONE <br /> NITA&PERSON <br /> �A�rtPJ (orP�'C G. <br /> ' t�A'f1)RE,OF'AUTHORIZED A?117T�TITLE -OdIDATE- <br /> STE:TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> .TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> F1 CONSTRUCTION SOIL ❑ ASH ASH <br /> •• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATINGFACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NOTES: 7 - 1 - <br /> UMBER <br /> ADDRESS�7�0 r >> �J <br /> •:CITY, SrTE,ZIP <br /> PHONE- , / END DUMP BOTTOM DUMP TF aNSFER <br /> ❑ ❑ 5 <br /> iSIGNAT RE OF AUTHORIZED AGEN OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN .`RUMS <br /> ❑ ❑ ❑ ❑ <br /> i <br /> FORW RD INC. LANDFILL CUBIC YARDS <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 ORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the "_--1 DISPOSE BIO AERATE STOCKPIL OTHER <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 site ❑ 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 /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> )SIGNATURt OF AUTHORIZED AdEN,T, DAT7 �, <br /> 1 ❑ ASH <br /> ( <br /> �C <br /> .= as G i / , ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4: P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONG ING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 <br /> '; - MANIFEST # 6540 <br />