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A r_ , ASTE MANIFESTNwARD <br /> WASTE liq6TIVIENT AND DISPOSAL FACILITY <br /> INC. ; <br /> JOB ACCEPTANCE N0. x ;52 / :. ... : <br /> �S <br /> GEN TOR;; r� f jE-MR ONAL:ARC�7ECTIVI�EQtJIPMEM .�� �. <br /> REQlJI, <br /> Q Q G!1OVE:S'j [:]GOGGLES ❑RESPIRATOR ❑HARD HA7 <br /> 77 <br /> MAILING ADDRESS .'� � " � :.; []TY—VEK �.❑OTHER , <br /> I GITy STATE ZIP SPECIAL HA14DUNG PROCEDURES: <br /> PHONE' a4 <br /> CONTACTS RSON. f v 0 <br /> i <br /> I SIGNATURE OF AUTI IORIZED AGENTJ.TfT{.E <br /> WASTE TYPE,�, �� d.. rn � <br /> -f.v' �,.xi«u:. �.. ,s r 1 ,—w a, �.j. .. ,RECEIVIWG FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> - • ['DISPOSAL SOIL ❑ WOOD i <br /> ❑ CONSTRUCTION SOIL El ASH i 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATINGFACILITY_j �� - a f {209)982-4298 PHONE <br /> p. Oe <br /> oo �kjf m ,')e good (.209) 982- 1009 FAX <br /> s A l <br /> NAM °.r'a s': " x °any;. t.� ��r NOTES - :Y s�T*f' t � as;<z a <br /> TRUC�BER <br /> ADDRESS:- <br /> rx <br /> ll ' <br /> •CITY,S IA1 ZIP ` � _ r <br /> ME <br /> 5�n <br /> PH Et _ fND DUMP, OTTOM.DIIMP =�a TRANSFER <br /> J -- - <br /> 72_47 <br /> Ire <br /> SIGNATURE OF AUTHORDIZE Gk4j,.614,15AIVER. DATE � .� ' ��'.ROTI=OFFS :mFLAT=BED �,HV f DRUMS <br /> FORWARD INC. LANDFILL CUiC �Dsr re� : ,� t} _ <br /> .�--F <br /> �T <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 �DISPQSALME OD��TQ BE COMPLETED BYrFORWARD} <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 ^x w BIO AE <br /> waste <br /> 8TOCKPU E.. <br /> waste for any reason. If Forward's refusal to accept the waste is based SOIL <br /> weather or other site conditions, Forward shall notify the Disposer when,aife <br /> .conditions are expected to change such that Forward will be able to ce t_ <br /> the waste. .x ❑ SLUDGE <br /> • REMARKS: �" b <br /> ■ ❑ NON-FRIABLE <br /> ASBESTOS :1 <br /> 1=ACILILYIC}CEC.NtI`;fIB <br /> f ❑ WOOD <br /> J'GIi.VRE_.�/'l -OI'LLyG� EIy1.IS i= 44• -Lf,�" 6-'SYi I l - <br /> ASH <br /> OTHER <br /> SCHEDULING <br /> - SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE } <br /> LSUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST 8E SCHEDULEWI THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209)982-4298 l �' <br /> 3063 <br /> MANIFEST # <br />