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Lo' ,FOR ARD NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> �f. JOB ACCEPTANCE N0, <br /> , <br /> GENERATOR wLE REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> A,ILI <br /> � !`C� ®GLOVES ❑GOGGLES <br /> MAILING ADDRESS - - �'��� ❑TY-VEK [:I RESPIRATOR ©HARD HAT <br /> ❑OTHER <br /> CfiY STATE,ZIP - : : .. SPECIAL HANDLING PROCEDURES: <br /> SCA 3. <br /> (925)779-OQp "µ- <br /> CONTACGPEROM`�.. <br /> Si(.;i TllRE UTHORI AGENT/TITE 1= "DATE ; <br /> IVM P <br /> a� -,j.. r ' •Yni .,a"¢4 �..{ __ten. w .w.�.. x v ;:rt'W` xr f . <br /> • - RE <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ' FL] DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING'FACILITY "� ` v '.._ r �' <br /> ---- _.- .' (209) 982--4298 PHONE <br /> 1615We#IItb&m TRACY (209) 982- 1009 FAX <br /> �. FY+dr`- - u +'d t�Wx"•_a�.-> Yl�['x'I _". �!` —ay i?. p,„c - <br /> 1 mar <br /> DRESS- 5 , .- :L• <br /> • Past Office B=579 <br /> rr <br /> �e4/�..,�'�. r /� �-��� r^",- '��`•� "�::°=��.���. .•_ - .:�• ��� ;��p-,�,!'AAI? -��-BOlT.OM DEIMP-..-� d.TRgN� E� <br /> -(S1O�ty34�SS3Q Q `wsLW 13 <br /> SIGtiATURFOFfiIZED AGEN� OR D IR�VER DATE �fto� I (s q �T BED f ViN�, DRUIIAS'� ` <br /> -... ,Ri.tom. s.> .51- �.,..,_.»....ca...x.�,s-. <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL crls�cr nRos � � > �Y j II NI" r� <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 :_� SOD0 BE COMPLETED:BIf FOI`iVIWRD) <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 f _ rte,,,,. ixAF�FWiE STaCK_P�ETF�ER'. <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> at <br /> or other site conditions,Forward shall notify t Disposer when site <br /> .conditions are expected to change such that Forward will be able to accept <br /> H the waste 0 SLUDGE <br /> J—F <br /> it, x - <br /> w_. NON <br /> --FQRABLE <br /> _- <br /> .5 1701= <br /> x- ❑ <br /> ASBESTOS <br /> ❑ WOOD <br /> SNA �OF,At1�'E�OFtIZED: � � ��,� <br /> 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 /> Fol(C951 INH)6.96 SALES COPY �� _� MANIFEST # C 663639 <br />