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w . = NON-HA'<4RDOUS WASTE MANIFEST <br /> L � ■!•�RD WASTE T TMEI�T AND DISPOSAL FACILITY <br /> �. ,. ' s <br /> t JOB ACCEPTANCE NO:. /f SZ a <br />{ GENE TORS . �' _ ,.`.w g r a 4 - <br /> REQUIRED.PERSONAL PROTECTIVE EQUIPMENT ,, <br /> ___. [�/ I El <br /> Gt;OYES 'j❑GOGGLES []RESPIRATOR Q HARD Hq`, <br /> M_AILlNG ADDRESS 1 P 'w _ }s ❑TY-VEK ❑OTHER <br /> D � QX <br /> CIY SL4TE>'ZIP.` F�, e° SPECIAL HANDLING PROCEDURES: <br /> ■ r - d <br /> • xi n..tea m� .,C� �3 �'_ <br /> I � PHO <br /> 1rGZ 2-P2, <br /> E CO CT�PERSON <br /> , <br /> i <br /> Landon [ .rrr � <br /> SIGNATURE <br /> ,OF'A fTHQRIZEDAGENT,/;TITLE' ,4 DATE <br /> w. _ w- r <br /> WASTE TYPE <br /> _..-�.RECENINs_FACIA�.„�»YL.:.....qr <br /> �ll. <br /> L <br /> ❑ SLUDGE <br /> ii <br /> I, ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS I FO�RVIIARD INC. LANDFILL <br /> • [ 'DISPOSAL SOIL ❑ ASH 19999 SOUTH AUSTIN ROAD I <br /> ■■ <br /> ❑ CONSTRUCTION SOIL ASH � <br /> ❑ OTHER MANTjECA, CALIFORNIA 95336 � <br /> .t <br /> GENERATING FACILITY a „� _ 4F � y:' j (209) 982-4298 PHONE <br /> ; �rxrd <br /> Qo I yfi ro le ;; (209) 982- 1009 FAX <br /> 4�4 k . 0 NAMETtu <br /> S <br /> � - <br /> e � 571 UCK NUMBER <br /> ADDRESS. ;q f <br /> - <br /> i,.. y <br /> Z s3o _. �r <br /> • C[TY,STATE,ZIP "�. <br /> PHONE_ -y 5e11, `,3 _ - �. ENDUi��s � <br /> -� D� ', �q_ TTOM.DUMP �'ITWNSFER._ <br /> SIG F AUINQRIZE OR DRIVEi� DATE,;`%` `RO FF�S} Fl:AT 8ED ;YAN ;DfiUM <br /> 7k - - - - - - ❑ ❑ ❑ ❑ <br /> tCUSIC-YAR©SI '` <br /> FORWARD INC. LANDFILL = <br /> i { <br /> 3 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 w D15AL M - p BE COMPLETED BYFQRVh&4RD} ' <br /> impairs the safe and effective operation of the Landfill. Forward shall use t �rN - <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE B D AERATE <br /> waste for any reason. If Forward's refusal to accept the waste is based on I <br /> weather or other site conditions,Forward shall notify the Disposer when site SOIL <br /> ■ conditions are expected to change such that Forward will be able to <br /> - waste.f <br /> the' ❑ SLUDGE <br /> ■ I` . ❑ NONE FRIABLE <br /> ASBESTOS A } <br /> L _ ❑ WOOD <br /> SIGwR _OF�'LfiHO w>AG <br /> ❑ ASH <br /> SCHEDULING MUST BE MADE PRIOR TO 4;00//P.M. THE DAY,-PRIO EXPltCTED�}ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ON CNG DAILY DELIVIEWES MUST BE'SCHE RULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 <br /> j J MANIFEST# 3060 } <br />