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1S <br /> NON—HAZARDOUS WASTE MANIFES M <br /> ARD 1 <br /> ' ,NC+ WASTE TREATMENT AND DISPOSAL FACILITY <br /> I <br /> JOB ACCEPTANCE NO. G <br /> GENE RATOR . REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> W� ' t�G S E5GLOVES ❑GOGGLES QRESPIRATOR tiFiARD HAT <br /> M0 AQ RESS - _ - ❑TY-VEK ❑OTHER <br /> MX / 22-5 r <br /> CITY,STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> 9 Y -- - <br /> ONTAC�PERSON <br /> SIGNAT F UTHORI 5 _ / TITLE DATE <br /> .. .-, Y <br /> WASTE TYPE _ RECEIVING FACILITY <br /> SLUDGE <br /> TREATMENT SOIL ❑ <br /> • El <br /> DISPOSAL 501E NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> to I ❑ OTHER MANTECA, CALIFORNIA 95338 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 4t6 209 982- 1009 FAX <br /> NAME NOTES <br /> ADbESS� � _�-_ _-_-- ..... _.��..__,__w �,.-.. <br /> • ITY,STATE, QIP -- --/C-- <br /> C -x <br /> • �a.t:�- a�ppo TC'! T _ _- _ <br /> P NE �µ � END DUMP 130tTOM BUMP <br /> C ZOO) 33y- �ocs� f � TSA SP � <br /> SIGNA' Ft OP AUTHORIZED AGENT=-AR DRIVER DATE ROLL-❑OFF(Sj �FEAT-B a VA >�r r ©RU' s' <br /> ; 0 0 _....� _.. . .�. ..._. _... . <br /> P f y ✓� <br /> cuiC YARDS <br /> FORWARD INC. LANDFILL <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 DISPOSAL METHOD (TO BE COMPLETED#3Y FO IIAR© <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 s - ,• JDISE08E' b10:; AERATE 1 t0_ lel =OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on - ` ' '� " <br /> weather or other site conditions,Forward shall notify the Disposer when site 0 SOIL -- <br /> • conditions are expected to change such that Forward will be able to accept_11 <br /> * the waste __ry ❑ SLUDGE <br /> ❑ NON-FRIABLE <br /> (=i4CIOT- TICICE ASBESTOS <br /> - ❑ WOOD <br /> S16NIPRE/0 AUTHO-ZED AQE�7";�_ PATE""`�" <br /> 7 '� <br /> / l ❑ ASH <br /> ❑ OTHER <br /> SCI IEOULING MUST BE MADE Pf110R 10 4 00 P M TI fE DAY PRIOR 10 EXPECTED ARF31VAL • ANY UNSCHEDULED LOADS ARE <br /> IEC=T 10 RP-FU13l1L UPON ARRIVAL ONGOING; DAII»Y I)t_I_IVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> rDULE CALL (209) 982-4298 MANIFEST # 6558 <br /> GENEi1ATOR COpY <br />