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+ .N04 HAZARDOUS WASTE MANIFEST <br /> W�LRD „ WASTE=ATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE N0. <br /> GEN R_ATOR „ RE(3URE D 'EtSOIAL:PROTECTNEv.EQUIPMENT:_: <br /> f _ AG [1CLOVE8 []GOGGLES ❑RESPIRATOR []HARD HA <br /> r GAD f � sT ❑TY VEK I ❑OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> . C1TY��'-ZIP.a-�c' `k.ft., r ,:.,'° 'u'a n y >,-rv� .}7L .7v •�..�e..b«�. ';:;- a�.,� ;I� a <br /> yz <br /> • C_NNTACT PERSON . : Ye A t "., ¢ No Aj I I <br /> °"°" <br /> 'T o <br /> { ict <br /> SIGNATURE F AU71-10RiZED-AGENTy'TITLE <br /> WASTE TYPE pw ,h �er ; , „. ;s _ .RC>wMNG FACILITY <br /> +' ❑ SLUDGE <br /> ❑ TREATMENT SOIL NON-FRIABLE ASBESTOS I FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MAN. ECA, CALIFORNIA 95336 <br /> GENERATING Fnclunr (209) 952-4295 PHONE <br /> { <br /> �cr- <br /> t i f P e (2ocrd982- 1009 FAX <br /> fin CA �� } <br /> MOTES z TRUCK NUMBER <br /> ' �i � CII 1 _�71/1�Gi.��LStk.:��R s � r.iS• ` .�.y.,Sa s!' y'�.r�w..it I 'f <br /> PHONE meg" <br /> ` `., x . . ?- y %u "END DUMPBOTTOM SUMP ;;,ate ;Ti�ANSFE�i� <br /> El El <br /> SIGhWT OF.A LORI �A RDRIVER = DATE DROLL-pFF T-BEp � V oRUMs <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other I ; <br /> conditions impair the safe and effective disposal D <br /> p posh of the waste or if the waste DISPOSAI:METHOD` BE,.COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use �- -._> �� � <br /> reasonable efforts to promptly s= = ' <br /> p ptly notify Disposer of its inability to accept the � .� WSPDSE 'q .AERATE ER <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 SOIL <br /> ' conditions are expected to change such that Forward will be able to accept ;I <br /> the waste. S <br /> 1:1LUDGENt <br /> YI <br /> s RIGS •x . ., ! 6 <br /> • �»� w ❑ NON-FRIABLE <br /> F_ACIUTY C CEf NUMBER u .� :. r s ASBEST0% I <br /> ❑ WOOD <br /> SIGGfiIJRE OF�.AfiITfiORIZE�AGENT DATE " `i <br /> _-. .� <br /> i ❑ ASH <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 <br /> MANIFEST# <br /> ,` 3065 <br />