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x - NON-HA71 <br /> WARD <br /> RDOUS W <br /> :,WASTE MANIFEST ASTE i ATMENT AND DIST <br /> 1 � OSAL FACILITY <br /> JOB ACCEPTANCE N4 <br /> GEN RATQR ,; �°'` �� •; � .�•- . .�-, ��•.� _ � � REQUIRED. SONAL. CTNE EQUIPMENT -`:^-�;:-;:.; - '- <br /> ❑GLOVES ❑GOGGLES ❑RESPIRATOR w � � <br /> MAI G ADDRESS : �'r q <& ` " HARD HAT <br /> ❑TY-VEK ❑OTHER <br /> " <br /> am SPECIAL HANDLING PROCEDURES: <br /> - <br /> - PHONE ., <br /> 4;n€ •:..5� * 4-."x <br /> CQNTACT PERSON <br /> Q ul'i Gt r r i S <br /> SIGNATURE OF Au.rH-ORIZED A ENT[ <br /> WASTE TYPE <br /> RECEMMG�FACILITY <br /> ❑ SLUDGE <br /> ■ ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS !i, FORWARD INC. LANDFILL <br /> • ®'DISPOSAL SOIL ❑ WOOD it <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH. AUSTIN ROAD <br /> ❑ OTHER MANT,ECA, CALIFORNIA 95336 <br /> GENERATI -4298 PHONE <br /> �29CFlc 00a � S <br /> mop Cht m to982- 1009 FAXZ <br /> StoGl�-f-on, Chi I� <br /> NAME <br /> VMtZ100i � . <br /> TRUCK.NUMBER j <br /> ADDRESS: e n" ,t e a <br /> der - s 7 i� si r <br /> fzi n JS� Z <br /> PHONE }» Q ,, '' p t :<.. END`D,{1y1ylPa BOTTC}M DUMP `' TRANSFER <br /> !4 bailN7iYtr^i.Y8i1,s. Y �• u.:,c`s_m. � _ ..":-.:n. ._�_a�., riY' ❑�—�..i_.� <br /> SIGN TIJRE Q. AUTHORI�ED..AGNT AOR ORNER DAIS •, r "' 'lpl w ,L} r _ELATED ANCIRUMS- <br /> El 11 13 El <br /> FORWARD INC. LANDFILL :CUP <br /> Forward shall have obligation to accept the waste if weather or other I <br /> "F <br /> � . <br /> conditions impair the safe and effective disposal of the waste or if'the waste <br /> "DISI?f}SAL'METHOD (TO BE COMPLETED BY FOF111fARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use t ; ' �;, <br /> reasonable efforts to promptly notify Disposer of its.inability to accept the DI <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notify the Disposer when site O <br /> ■ conditions are expected to change such that Forward will be able to ac <br /> the waste �,,:ET`SL6'DGE <br /> REMARKS . <br /> ■ ❑ NON',-FRIABLE <br /> FACILRY CKET iVl1ME3ER§ 5 ASBESTOS I# <br /> / - ❑ WOOD <br /> SigRE OftffD GEI <br /> ,/�' ❑ ASH <br /> �. `� �� f, ` � � ❑ OTHER '' <br /> }SCHEDULING MUST BE MADE PRIOR TO 00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL D OING DAILY DELIVERIES MUST BE:SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209)982-429$/ <br /> '+' 31 MANIFEST # 3061 1 <br />