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RTA�� " NON-HAZARDOUS WASTE MANIFEST <br /> ,1 <br /> -1-N �_ 0 R P0 R A T F D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. '� h'i < <br /> ,_RESS r t,_,Y..�l�,r Lt �•},••,-{`",,+ <br /> �E0Q4A�GENERAT�R_ R~QUIP9PROTECTIVE EQUIPMENT <br /> bj3LOVES ❑GOGGLES ❑RESPIRATOR <br /> ]HARD HAT <br /> ❑TY-VEK ❑OTHERMLJGAD4 <br /> CEN, STATE,ZIP j` '�` rfl ti :w9`` N SPECIAL HANDLING PROCEDURES <br /> f,•-IJ}{-' ! _. L,•• _ _ -r--" '••�- . <br /> CON[AA ERSON. <br /> SIGNA R OF�%UTHORIZED"AGENT% TITDATE, <br /> WASTETYPE_ �, . `r_; '" A4�"�� RECEIVING FACILITY 2t <br /> ❑ SLUDGE <br /> ❑ 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 FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> 1 ; f- � � <br /> NAME w _ --` NOTES; "`�r _ TRUCK NUMBER <br /> ADDLES .._� + -�� J <br /> � <br /> . CITY,S*TW,ZIP <br /> PHONE _.�, .<is. _ r � ,v END DUMP,`'� <br /> _ � uM �v�:�:�.._+.. ,,,a�, ,� .��� BOTTOM DUMP TRANSFER <br /> El <br /> t,�� r- c-- Xs{=�F� to^ -f ,-., iro,�",�ad., <br /> SfGNATURE OF�AUTHO�ZEa AGE -OR bk4 Al E ,'� ; tt] I_:©FF Sj a ,< FLAT-SED` VAN DRUMS <br /> y ❑ ❑ ❑ ❑ <br /> C U B I G YARD3 ?�;� <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 `k-r(TO BE COMPLETED BY FORWARD} <br /> impairs the safe and effective operation of the Landfilt Forward shall use Nro ""'KsM> s — `- <br /> reasonable efforts to promptly notify Disposer of its inability to accept the f: ' rsPOSE ^;WO AERATE SEDCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on ❑ SOIL <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 /> REMARKSo <br /> NON-FRIABLE <br /> sg a:� ASBESTOS <br /> FACILITY TICKET NUMBER--'7' <br /> 71 ` * <br /> ❑ WOOD <br /> SIGNATURE OF AUT1-10RIZED AGENT <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST 13E MADE PRIOR TO 4-bo 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 THE DAY BEFORE <br /> TO SCHEDULE GALL (208)882-4298 MANIFEST # 80026 <br /> Aye ttlttfllPY <br /> 1 <br />