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Mn" NON-HAZARDOUS WASTE MANIFEST . . <br /> �IARD WASTER ATMENT.AND DISPOSAL FACILITY <br /> i <br /> INC. JOB ACCEPTANCE N0. _ l/ ;��/ <br /> GENE RR , :`' r'' REQUIREDr=RSONAL PROTECTIVE EQLJIPMEN <br /> GLOVES! GOGGLES ❑RESPIRATOR ❑HARD HA <br /> MA! A KESS ' s. = ;" 4"y., - 3• ❑TY-VEK _]OTHER- 3 <br /> oyr SPECIAL HANDLING PROCEDURES: <br /> CUh[TACT PERSON_ �� � �tr1lDN� <br /> SIGNATURE OF-- ITHO D E <br /> WASTE TYPE . <br /> RECEMNG FAC}LCTY .:.;, <br /> ❑ SLUDGE� FORWARD INC. LANDFILL` � ❑ EATMENT SOIL NON-FRIABLE ASBESTOS <br /> • DISPOSAL SOIL ❑ WOOD 11999f9 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH I1 1 <br /> E ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY 3P M (209) 982-4298 PHONE <br /> - Pac r-Frc well <br /> ' I -/- M.17e, Rood <br /> ({209} 982- 1009 FAX <br /> NAME . £ � TRU CK.NUMBER <br /> ADDRESS° ` LIAMN. <br /> Z11 err c ess�. Sia ;} <br /> L • � CITY`.STAT�ZIP,.� �'r�_.::" .f, '��' ��. �.v �3 . <br /> d r <br /> �f <br /> PHONE 2 -gym .. BOTTOWDUMP TRANS <br /> amp a w ...� '... <br /> - <br /> El <br /> D <br /> SIGNATURE-OF AUTHORIZED'AGENt.-OIC bRIVER : � DATE � d '.: RDLL-O S I^LAT BED Vi4N ,x ' DRUMS <br /> FORWARD INC. LANDFILL <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'rf the waste DISPOSAL METHOD�, T(3O BE COMD BY FORWARD) <br /> impairs the safe aril effective operation of the Landfill. Forward shall use PLETE , , .. <br /> } reasonable efforts to promptly notify Disposer of its inability to accept the ISPOSI; >''¢810' ' AERATE Qi.: I <br /> L 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 !L <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SL61 DGE <br /> REMARKS: <br /> ■ ❑ NON-FRIABLE <br /> FACIUTY.xTICKET N11M61=R �` ��- �.. .�:T ; ASBESTOS; <br /> ❑ WOOD <br /> L <br /> SIGNATURE.-OF AUTHORIZED <br /> f f ❑ ASW <br /> 7k �f✓`t �r .e / %' .C ,�'� 1 ❑ OTHER it <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARISUBJECT TO REFUSAL UPON <br /> } <br /> TO SCHEDULE CALL(09)982-4IVA ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> I MANIFEST# 3071 <br />