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FORWARD- NON-HAZARDOUS WASTE MANIFEST �"
<br /> WASTE TREATMENT AND DISPOSAL FACILITY
<br /> INC:
<br /> JOB ACCEPTANCE NO. 16_�— 41 9-<-- 2,4
<br /> NERATOR `i REQUIRED PERSONAL-PROTECTIVE EQU T
<br /> PS LOVES � ��zx
<br /> t Ob ❑GOGGLES ❑RESPIRATO(i QPARD HAT
<br /> N AL3 iE 5; w>w . a; tsr 'r a"�f t' ❑TY VEK OTHER
<br /> h t7 C'
<br /> TYr STATrz,V ;P"'�e,-4-- `� �� ��'�� 9 �; SPECIAL HANDLING PROCEDURES
<br /> � �'+�a k .,� �r ryN w;t�s;'l, ;f„"fr °�;.Tk t.
<br /> a�5 oS � Ga � o� 4
<br /> P ONE , _ - s�fl,r I
<br /> R L t 6 70
<br /> it t�NT ,�PERS�Nt� jD �
<br /> �SIGNATURE OF H 'ELE _ DATE"
<br /> * ib
<br /> t WASTE TYPE,", M, ; rry. T , ' RECEIVING FACILITY,,- JJr, ; ,i !
<br /> r +
<br />` ❑ SLUDGE t
<br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL
<br /> r DISPOSAL SOIL ❑ WOOD
<br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD
<br /> r
<br /> ❑ OTHER MANTECA, CALIFORNIA 95336
<br /> GRATING FACILITY �" r �. `S �?,`J,,ti , :€ „txx,5>, ttt (209) 982-4298 PHONE
<br /> (209) 982- 1009 FAX,
<br /> E
<br /> NOTES ?L'- 3 ti�'r,tom; CIY �v 4' hTR�UCI, NL�E
<br /> AD E&
<br /> r�
<br /> 1/ 7, �, Zip,1612
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<br /> , '.,, r,”w 4vrwY,� �, KkEND bUMP �rzDOTTONl;tSl�lh�p rt ►NS w
<br /> �� � j�
<br /> SIG AUTHORIZED'A EN�OR RIVER DATE ROLL❑OMS1 FLAY•BEO'
<br /> 1 ,12 0 11
<br /> FORWARD INC. LANDFILL cuBIcARDsj ��1����� � ry
<br /> Forward shall have no obligation to accept the waste if weather or other '1
<br /> conditions impair the sate and effective disposal of the waste or if the waste DISPOSAL METHOD° -(TO BE COMPLETE B1ORWA I�j`
<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 t]ISF;OSE „BIO �, AITE 3OItL ' VaH
<br /> waste for any reason If Forward's refusal to accept the waste is based on /1
<br /> weather or other site conditions, Forward shall notify the Disposer when site ®-5i51L
<br /> conditions are expected to change such that Forward will be able to accept
<br /> the waste
<br /> REIu1ARkS ,�,. � �- _,n ,:�.�- �,:,�.�� ,�, [-I SLUDGE
<br /> ❑ NON-FRIABLE
<br /> FACILITY TI T NUMBER Ys , ^ , " _ ASBESTOS
<br /> ' � El WOOD
<br /> SIG T UOFUT7HD AGENT DATE-^, ,u.�,-
<br /> ❑ ASH
<br /> ❑ OTHER
<br />-HEDULING MUST BE MADE PRIOR TCS 4 OO P M THE DAY PRIOR TO EXPECTED ARRIVAL + ANY UNSCHEDULED LOADS ARE
<br /> JB JECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE
<br />] SCFIEDULE CALL (209) 982-4298
<br /> G>=NERA1'OR COPY MANIFEST # 39895
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