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WARD NON-HAZARDOUS WASTE MANIFEoTµ� a <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> NERATOR ERA;VVIOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT��'l��`3 ' <br /> ING ADDRESvS` /�J -A - y , # C1`LOVES ❑GOGGLES [:]RESPIRATOR Cj+k!36 HAT <br /> /� ❑TY-VEK [-]OTHER <br /> ITY�ATE Z�P' �"`L`?"� 'x:��' "r ;, x ,v °� rpt=r"�';,� _,, SPECIAL HANDLING PROCEDURES <br /> . 1� � 4i'--A A �r 1��H,rH-a r <br /> �o ��Tas / 6' iµ`/oZ <br /> �, r <br /> cotR� � kS�� ^»�t7[J,�? <br /> SIGNATUR OF UT RIZED AGENT / TITLE DATE , <br /> WASTE TYPE ' t <br /> RECEIVING <br /> ❑ SLUDGE <br /> rERr�D' ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> GWISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY . r , " , " , , " f (209) 982-4298 PHONE <br /> 'I car�1� Tait c 20 _ <br /> ( 9) 982 1009 FAX <br /> ME - z NOTESy` TRUG Nl1 SEF ' <br /> ADDRESS <br /> • CITY S_IKTOE. ZIP '0' <br /> L Q <br /> � N ��=���n/z..��`E��t;�'��.; �'t. „;°�,t � s ���-� ��� �K END DUMP <br /> 33 `/ O j = a 4� .air ,y ❑ err `#,t fr $(JT,TOM'5UMP, As Y�F o <br /> ��JJ �O E] <br /> S NAT RE OF AUTHORIZEDAGENT OR bRIVER DATE." ROLLiOFF(S) FIAT-dib tta� WT <br /> z El <br /> FORWARD INC. LANDFILL cu !i✓ YADs�� ��;m <br /> Forward shall have no obligation to accept the waste if weather or other �� t <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD , 3 (t0 9E COMRLETED' Y �ORWAFtl7) <br /> impairs the safe and effective operation of the Landfill Forward shall use , w ;.ca , FE[ .r „ r , <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ,' DISPOSE gI ,'� AWT-0 PI � <br /> waste for any reason If Forwards refusal to accept the waste Is based on ° �"'' <br /> 7 weather or other site conditions, Forward shall notify the Disposer when site ❑ SHIM- <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> R1=MARKS ' k. T_ ,, z_ , .� <br /> k � uR,[ T' 4fy,5."�,(h 2ici1 PP i 4.ir• <br /> ❑ NON-FRIABLE <br /> FACILITY TI NUMBERS - S ASBESTOS <br /> NUMBERS r �.� ,1 r� , ,.f�- s ��,,� ,,�. <br /> ❑ WOOD <br /> SIO AT OF AU HORIZED GENT / bAl <br /> iff <br /> � ❑ ASH <br /> ❑ OTHER <br />>CIIEDULING MUST BE MADE PRIOR TO'4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br />;URJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br />{'O SCHEDULE CALL (209) 982-4298 <br /> MANIFEST # 43502 <br /> [.,f;NEfiAfOfi COPY <br />