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N N-HP?ARDOUS WASTE MANIFEST. <br /> .. WARD WASTE�, iilEATMENT AND DISPOSAL FACUTY t <br /> JOB ACCEPTANCE N0. <br /> RE <br /> GENTO-2 <br /> {QiJIREDPEAS[]GLOVES []GOGGLES RESPIRATOR ❑HARD f i� t <br /> r! MAII..ING ADDRESS, : �, ": " _ x' ❑T�Y VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> CONTACTSON ° IDlU E <br /> SIGNATURE OF.AI,]TFiOR2Ea AGENT <br /> I <br /> t. WASTETYPE. RECD <br /> �. EMNG FAGLJTY <br /> SLUDGE <br /> * ' ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL WOOD <br /> { ❑ CONSTRUCTION SOIL p ASH 9999 SOUTH AUSTIN ROAD <br /> f <br /> ❑ OTHER MANTECA CALIFORNIA 95336 <br /> GENERATING (209) 982-4298 PHONE <br /> Z 30D E-: ignt M t I e,4100 d �; !(209) 982- 1009 FAX <br /> NAME <br /> +61) . CA <br /> NAME i <br /> d .Ai w-. � .' _.� ._. <br /> � `ri �„�* OTES � _.R.., aTRUCK NUMEiER <br /> � t � ' <br /> ate' .: <br /> ADDRESS - <br /> . x5 3 i3e r r u�ss� A <; <br /> •CI f1f STATE DP . - <br /> HONE : , . M k^,_ _ � <br /> P ,. qx � ;+ ND DUMP BOTTOM gUMP SFER <br /> S!G Tl1RE-OF. UTHORIZED: ENT OR bFiIVER ry,DATE" "� £RC LL1-0F5,} .• T BED ' 9�IAN wQRUMS "�: <br /> _ ._ _ <br /> 11❑ El <br /> FORWARD INC. LANDFILL QIBiC YARDS <br /> YA <br /> �* Forward shall have no obligation to accept the waste if weather or other � = I <br /> _ conditions impair the safe and effective disposal of the waste or if the waste DISPOSALMETHOD BE_COMF?LETED BY FORVVdAFtD) 'j <br /> impairs the safe and effective operation of the Landfill. Forward shall useF <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _SO .IL_ SP03E ,,"E3f0 ,AEf'�ATE. SER _ l� <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 ❑ ii <br /> • conditions are expected to change such that forward will be able to accept ; <br /> • the waste. S 1UDGE ; <br /> REMARKS : _; 4 <br /> ❑ NON-FRIABLE <br /> FACIASBESTOS <br /> ^.*�^^ •C ❑ WOOD I <br /> f (�� ❑ 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 s <br /> MANIFEST# 3069 <br />