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-.,FORWARD NON—HAZARDOUS WASTE MANIFEST '- • <br />—,,,, _ WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. wr It <br /> Et�alAI�p:�.T�gp <br /> rHllk[! 121 �" ,���Y f w� &j 7 d z' "nwry r <br /> r,� REQPIREQ PERSONA:PROTECTIVE EQUIPMENT <br /> G{J v 4 f s GLOVES [-]GOGGLES ❑RESPIRATOR t5RARD HAT <br /> AQ E :ytw,W .5t�^ b .r 4 ❑ -V <br /> �( ❑OTHER <br /> Yi5' ti n -w}k4i gM'Wi w pN lyii5..b, w, id"gati"'{Y�Nb' S Y �n ... TY-Y E(\ <br /> 1 ��^�*�," " t SPECIAL HANDLING PROCEDURES <br /> SII� �,5 y �� f� (j0 Z <br /> �P llliiiCi:4.rA �^f�'15�_1 s'A �N 1r it „fit <br /> • C�NTAPT144 <br /> §19-AT -9 y gEP'6QENT,1 TITS g PATI= <br /> 7///t <br /> 1T9_ RECEIVING FACILITY <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> � R�!?lYSFP6!urY - (209) 982-4298 PHONE <br /> �� 209 982- 1009 FAX <br /> ( ) <br /> NOTES TRUCK NUMBER <br /> f ✓ 1'y / 'Y <br /> ,Q,LTY�§)ATO'� <br /> END DUMP BOTTOM DUMP TRAINISKER <br /> J �� J ❑ ❑ iff <br /> SIG _TI)REc�Q�,�1�1T l0RI D AGENT QR PfiIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> .2- ❑ ❑ ❑ ❑ <br /> FORWARD 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 <br /> DISPOSAL METHOD (TO BE COMPLETED BYFORy�1ARD, <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 DISPOSE 81Q AERATE STOCKPILE OTHER <br /> waste for any reason If Forward's refusal to accept the waste Is based on OIL <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 /> NON-FRIABLE <br /> f � ~ <br /> ❑ ASBESTOS <br /> WOOD <br /> PATE y <br /> L1 C] ASH <br /> ❑ OTHER <br /> SCI IEDULING MUST 13E MADE= t•Iiluli fd -I vo 1'M Ilii 0til I itit)i, Iii AIJr 014-t IILiAJI LIA l tIAD. Ali'L <br /> SUBJECT 10 REFl1SAL UPON ARRIVAL OtJGOIrA(i t)Alt Y ijLt IVt lilL:, MLIaI 111 b( 11t frill LI1 Willi II IL- I AIlt1l lit liltzzDAAY ULF(Aik <br /> TO SCHEDULE CALL (209) 982.42913 MANIFEST # 6567 <br /> GENitHA I Oki LOPY <br />