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WARD <br /> NON-HAZARDOUS WASTE MANIFES`I"WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. ICu4 ,?9T Z <br /> �EFiATOR <br /> VLUIORVED PERSONAL PROTECTIVE EQUIPMENTJAj- ES [:]GOGGLES O RESPIRATOR HARD HAT <br /> A6 RE55 ❑TY-VEK ❑OTHER <br /> 5TA L SPECIAL HANDLING PROCEDURES <br /> 6 <br /> E I - � ' <br /><< s X71os / G , <br /> J V%GT PG!'S. N <br /> IATURE OF AUTHORIZED AGENT / TITLE DATE <br /> f <br /> FE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> 'REATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> s ;INSTRUCTION SOIL ❑ ASH ASH <br /> r ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> EnATING FACILITY /} r z .�t a , (209) 982-4298 PHONE <br /> J I 0/f (209) 982- 1009 FAX <br /> NOTES �,V• 71tUCI��NUMBEN� <br /> r (�y rz // ✓ <br /> � <br /> STATE, ZI>a <br /> 7 <br /> AVC? <br /> J '` ' _ `'' ', ` y : END DUMP. a ti, , <br /> r s <br /> AA URE OF AU�HOR! D AG NT OR D['tN& DATE ,-r� . i.r ROLL-OFF(S)k­ <br /> ,�, VaTfijb.A ��Aq� <br /> 1A El 11 01 <br /> 01 <br /> FORWARD INC. LANDFILL CUBIC'YARDs �r� �y Y <br /> rorward shall have no obligation to accept the waste if weather or other <br /> I ons impair the safe and effective disposal of the waste or if the waste IS SAL METHOD: t(TO BE COMi�LET Lf3Y Fid Alb) <br /> -)rats ee efforts safe ato promptly notify nd effective IDisposeion of r�ofitsdinllabFty for accept the d shall use Y '`" ��,asP <br /> for any reason If Forwards refusal to accept the waste Is based on <br /> ;,or or other site condfions Forward shall notify the Disposer when site C1SOIL <br /> Tons are expected to change such that Forward will be able to accept <br /> asfe ❑ SLUDGE <br /> ^'Yy -hY ti ti <br /> r5 i" ' 3�r„�fi7�a�4�t lic�kw^ zt Y� ���fri� �'* ' �r�- >`. ❑ NON-FRIABLE <br /> ASBESTOS <br /> I <br /> TY TICKET NUMBER`. <br /> ❑ WOOD <br /> ATURE OI'.AUT i6RIZED AGff NT ar,�v, ”.�� rSxra' bATK` ,�.1W <br /> ' <br /> C] ASH <br /> ✓!) 1 1) t/ <br /> — <br /> OTHER <br /> RE <br /> �`F�tt(* �1►EIi�T FSE MADF rnion TO h UO P M TIIE DAY PnIOR TO EXf ECTFU ARRIVAL ANY UNSCHEDULED LOADS AIDE <br /> I 10 RFFtY;AL Uf ON ARTZIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> 'i-DULF CALL (709) 9132-4298 MANIFEST # 6565 <br /> GENERATOR COPY <br />