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�� T��D • ' NON—HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. r ` <br /> ;L <br /> NFERo,4JPR,` -`;'' r-,��,,�lof; ,z�"" �:- , �� ;* ' � REQUIRED PERSONALPROTECTIVE EQUIPMENT <br /> PEr <br /> !_ _ �' -GLOVES [:]GOGGLES ❑RESPIRATOR [ .. HARD FIAT <br /> MAILING�4DpRE.�S. , _ { t.� {,t sY Yu tl;, []TY-VEK ❑OTHER <br /> -* � +r- SPE=CIAL HANDLING PROCEDURES <br /> clty;sTA`_T`�_ ,ZIP, . t ' �=�U S � :�. a ..��., s <br /> CONT,gW§SbN <br /> SIGNATURE F A4fH RIZED AGENT 1 ltitl=y DATE Fx =7 <br /> WASTE TYPE'— <br /> RECEIVING <br /> TREATMENT SOIL ❑ NOND-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • p DISPOSAL SOIL p 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 /> AME <br /> s . r,Y;P,, Ri "`"a 1?,a Y a� yNQTE�S`r2. xy t a r��'i: i ._ _ _ -TRUCK NUMBER <br /> �{Q� /i C1:X.,�kris df Xj rrrF � <br /> ADDRESSI A <br /> CITYYSTA <br /> w c `Y <br /> TE,ZIP <br /> PHONE 4 t^T-�� ' END DUM BOTTOM DUMP- TRANSFER <br /> El <br /> SIGNATURl�O AUTHORIZED A NT O�)DR DATE, ',, ED , VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> } <br /> CUBKC YARDS, ==- <br /> FORWARD INC. LANDFILL C <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 M THOD k, r(TO BE COMPLETED BY FORWARD) ' <br /> impairs the sate and effective operation of the Landfill Forward shall use i <br /> reasonable efforts to promptly notify Disposer of its Inability to accept then s=�,f,�, «� DISPOSE r BIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on 11�--II"$OIL <br /> weather or other site conditions, Forward shall notify the Disposer when site Imo <br /> conditions are expected to change such that Forward will be able to accept <br /> 46 the waste ❑ SLUDGE <br /> REMARKS - -- s <br /> NON-FRIABLE <br /> M ❑ ASBESTOS <br /> FACILITY TICKET NUMBER , tri, t ry�c�»,y` ^ = ` rx t om . <br /> ❑ WOOD ' <br /> SIGNATURE OF AUTHORIZED tR�' <br /> ���� <br /> ❑ ASH <br /> i <br /> ' ❑ 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 THE DAY BEFORE <br /> TO SCHEDULE CALL (209) 982-4298 80028 <br /> MANIFEST # <br /> tM4'Y <br />