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�k NON-HAZARDOUS WASTE MANIFEST <br /> URA 7 E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> INIJOB ACCEPTANCE NO. 1, = "� ' A ` -pyi r <br /> GENERATOR REQUIRED PI~RSONAL PROTECTIVE EDUPMENT ,. <br /> [}GLOVES RESPIRATOR❑RESPIRATOR ❑HARD HAT <br /> r + � '" "T" ❑TY-VEK ❑OTHER <br /> r .�� �.����� fM ti` �-„i~�aY• SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP( - r <br /> PHONES <br /> CONTACT PERSONq?,� <br /> SIGNATOR bk. r µRI _ E- �-TIS.�P3r DATE �S w <br /> WASTE TYPE+ ti =` q "�`� ”- F- ` l r y r RECEIVING FACILITY - <br /> ❑ SLUDGE <br /> ' <br /> F1 TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ❑.DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILlT1G-- ` •ra ,; ..' , _ .� r <br /> (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> r- <br /> } ,� a ,,y =, a NOTB_ sx.z^.Y'r •n z TRUCK NUMBER <br /> NAME P, <br />• }'�- �� 9,Q'a'�""�,y�'-+.,��Y- A--c,��-�1 pix 'i=-,- �`a� �` C�;�-.- 1 - �. <br /> ADDRESy , <br /> i ' �.� 1 ct '���,�rti� x�^—�r•' � •-eta- r,d- rr �'�`'r>"y: �ftJ K.l�r rye/��-if{J !/ � <br /> . CITY,STATE, <br /> r` <br /> j ^- z� �ts k TRANSFER <br /> El 13 <br /> END DUMtiP^ „'' 80TTDUMP <br /> PHONE <br /> - - - ” '= VAN DRUMS <br /> SIGNA'RJRE�1bT[I IORIZED Ad9E ft OR DRIVER M DATE 7 � � R6L1-0F1F(S)� ' '_ FLAT-BED_ <br /> ry ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YAR°s <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 BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use > Y a .k° DISPOSE- BIO, AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the r` �' <br /> waste for any reason If Forwards refusal to accept the waste is based onSOIL <br /> weather or other site conditions Forward shall notify the Disposer when site to " <br /> • <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS' <br /> NON-FRIABLE <br /> _ ❑ ASBESTOS <br /> ❑ WOOD <br /> SIGNA E OAF AUTWURIZED A� T � ,; :�, C3ATE „�T <br /> ❑ ASH <br /> • 7�C �C� l�- Lam' ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THHEDA SORE <br /> TO SCHEDULE CALL (209)982-4298 MANIFEST # 80 J <br /> LABS 99FY <br />