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7 <br /> ORWARD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> VC_ JOB ACCEPTANCE NO. IC v4 04 — 1 ,3 c, — <br /> Y NERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT�A ;Ws,,)Wi' °;- <br /> 1'�' GLOVES ❑GOGGLES ❑RESPIRATOR �hgRD HAT <br /> 7AIt ! ADDR,�SS y NTY-VEK []OTHER <br /> s t ITY, TATE, ZIP SPECIAL HANDLING PROCEDURES <br /> r'ONE <br /> T FJTACT PER ON <br /> �3NATURE�F U HOF ZED AGENT/ TITLE DATE <br /> r , <br /> lr1S� Y E 1 / _ a ' r� RECEIVING FACILITY, ti t,;0 SLUDGE <br /> 1 <br /> TREATMENT SOIL ❑ NON-FRIABLE AS13ESTOS FORWARD INC. LANDFILL <br /> j DISPOSAL SOIL E] WOOD <br />?; CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> F, ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> iJERATING FACILITY (209) 982-4298 PHONE <br /> 1>0 <br /> (209) 982- 1009 FAX <br /> vIEi " ' a_ "%KIP W1 '?*i >`vNOTES'y�r a,a. T ` "rn" ' .4TRUCKyNUMJB <br /> U IZSS r` q-ezn 'i �yrrYY �ti • !// <br /> elo <br /> 1,x, STATE, ZIP r <br />• G �. _,-� <br /> �' �'' "��o rF <br /> ENi❑DUMP <br /> �e <br /> t <br /> s�BOOfVDillp <br /> a, <br /> "le I <br /> GNAfDRE OF AUTHORIZED A7MW OR bRIV& +' DATE's'�tMKNgL r'ROLL-OFF{S)°'�}Af LAT;8 rt V <br /> 1' ❑ ❑ ❑ ❑ <br /> cuBlc'YARDs` <br /> FORWARD INC. LANDFILL <br /> r".'] Forward shall have no obligation to accept the waste of weather or other <br /> uiitions impair the safe and effective disposal of the waste or if the waste s , <br /> DISPOSAL METHOD CS 13E COMlj tEb�SY� A D <br /> �iirs the safe and effective operation of the Landfill Forward shall use , ,F�,��k-��s".s�id�r r � i�'—onable efforts to promptly notify Disposer of its inability to accept the -W8 �� �E71 � <br /> este for any reason If Forward s refusal to accept the waste is based on <br /> ,:afher or other site conditions Forward shall notify the Disposer when site ❑ SOIL <br /> editions are expected to change such that Forward will be able to accept <br /> vraste ,` [ISLUDGE <br /> s AARKS "T—fP " .�r- w .«. - ;-gi rr u «, <br /> Y.1,n > , r NZy ❑ NON-FRIABLE <br /> IE.ITY TICKET NUMBER ' _ ..,.,..' ° '"'';;a's•;° <br /> ASBESTOS <br /> ❑ WOOD <br /> NATURE OF AUTHORIZED AGENT r_,.� ,Iw; bATE,� rt - <br /> ❑ ASH <br /> f4 f` �' ?' !-- / ❑ OTHER <br /> �ti►_}NCi'MUST F3E MADE F nIOR TO 4 DO P M TILE DAY PRIOR TO EXPECTFD ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> r f In nFf V;A1_UrON ARRIVAL ONGOING DAII Y DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THIIIE DAY BEFORE <br /> ;F-DUL1E CALL (209) 962-4298 MANIFEST # 6564 <br /> GE_14EFIATOR CUF'Y <br />