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BARD `�,�NOWHAZARDOUS WASTE MANIFEST <br /> C- O R P D R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. _ s - w r�cj-h <br /> � <br /> GENERATOR' y._ _' , .�� �rY,• ` tiw- REOlU1REb PEFISOCVAI.PROTECTIVE EQUIPMENT <br /> 4 t- { {� , y GLOVES [-I GOGGLES ❑RESPIRATOR HARD HAT <br /> MoYDN ADDRE63= ' " ` =•a � - r ; C1 TY-VEK El 7, <br /> - � ,, <br /> CITY,STA' E,Z{ } - ;� Yw, � 4�Y W; 1 SPECIAL HANDLING PROCEDURES <br /> CONTACT PERSON <br /> SIGNA�&l 46F�JT+f�`I-B�i2 D%EENT*TITLE Wf= <br /> WASTE TYPE RECEIVING FACILRYA- " - r <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> 'CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ w_�.,, ,_ _ (209) 982-4298 PHONE <br /> ,� (209) 982- 1009 FAX <br /> NAME }w:'E 'r{r! `,��:. ,i0„# ��� `ri " ;`�-' x' r�i" NOTES y �= au - -TRUCK NUMBER <br /> • <br /> CITY,Vi�Tlrr Li�����.+3� ��.�!�' � °• LLL.�^,-. � �� � I` � 1 ti <br /> !7 <br /> l` <br /> PHONE ` ' END QU,O ,�r� , BOTTOM DUMP TRANSFER <br /> El El <br /> SIGNATLIRi=O UTFiOp A N��ORBRIV R2 }ATE '�rx gA t t �oF ( r XXT BED- VAN DRUMS <br /> i ❑ ❑ ❑ ❑ <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 BY FORWARD) <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 b _H*t" �� - DISROBE _Bt0 I AERATE S7oCKPIIE 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 <br /> ❑ SOIL <br /> conditions are expected to change such that Forward will be able to accept I <br /> the waste ❑ SLUDGE <br /> i R MARKS7'r-�.-y _. ---- , <br /> ❑ NON-FRIABLE <br /> _ <br /> — <br /> -- x ...,,-, �� ASBESTOS <br /> FACILITY-TICKE-r NuM]3E�'ri7 w� , 4 Y; <br /> ❑ WOOD <br /> SIGNATURE OF ALI-06RT;OD Ad 7 0,�� F 6'A� <br /> �� - /r ❑ ASH <br /> _/T f f��' ❑ OTHER <br /> I <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 l <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST # 80029 <br /> ii <br /> aftmeopy <br /> I <br />