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NON-HAZARDOUS WASTE MANIFEST <br /> IFORWARD WASTE TREATMENT <br /> AND DISPOSAL FACILITY , <br /> INC. JOB ACCEPTANCE N0. 161111# -- /o� <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUfPMENV",W-dt <br /> .QG�f` L,// Ls•srG Qit'J� <br /> []GLOVES ❑GOGGLES ❑RESPIRATOR r]HARD HAT <br /> AILING A DRESS , ❑TY-VEK []OTHERCITY,STATE'=, ZIP 57— SPECIAL HANDLING PROCEDURES <br /> s7o0_99 cam. ��.�0,3 <br /> PHONE <br /> D/- <br /> CONTACT PERSON <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> qW <br /> WASTE TYPE RECEIVING FACILITY <br /> s `�2tia � <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANQtILL <br /> DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTI%101AD <br /> ❑ OTHER <br /> MANTECA, CALIFORNI� 95336 <br /> GENERATING FACILITY (209Y982-4298 PH6NE <br /> (209) 982- 1009 FAX-.- <br /> AM _(Z' NOTES r ' <x,rL �;_3s,� r ,}��TR�ICfK/UU!014 E���.� <br /> A DliS �/ <br /> ' CI�5��//�O ��• , <br /> HOE ' END DUMP-. bOTTOM,,DUMPA�, * RA.NS P p�d <br /> C� ? 9 eQ 1:1 El <br /> Sl TURF 0 AUT RIZE AGENT OR RIVER DATE ROLL-OFFS) ' '� FLAT 9ED,� 7, 4bkUM <br /> FORWARD INC. 'LANDFILL CUBIC YARDS �: � � 5 �+- 's�. ,-4& � <br /> Forward shall have no obligation to accept the waste if weather or other <br /> 74e r <br /> conditions Impair the safe and effective disposal of the waste or if the waste <br /> DISPOSAL METHOD (TO BE COMPLETED BY=F0R�41AR <br /> impairs the safe and effective operation of the Landfill Forward shall use ,,� w ,,,. �. 0r» �£ <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE Bl9ra AlE ATE STOCKPILE' I <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notify the Disposer when sit OIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> hEMARkS ' <br /> ❑ NON-FRIABLE <br /> �ACILI TICI� T/NIAIBER �/ l/r I ASBESTOS <br /> ' / ❑ WOOD <br /> SIGH A7 AUTHORIZED�GtNT ,f I <br /> �ATE <br /> 1 I/ t ❑ ASH ' <br /> OTHER <br /> SCHFDULING MUST RE MADE PRIOR TO 4 UO P M IIIF DAY r'IiioR 10 FXPFCTF-D ARRIVAL • ANY UN9CHEDULEU LOADS ARE <br /> SUIur C r 10 PFFHSAL IWON ARRIVAL ONC,01H1, IIAILY I)r"I-IVFtlfr,Ml1St t3f X IIEOULED WI1Fi THE LANDFILL THE DAY BEFORE <br /> �0 SCHEDULE CALL (209) 902-424f1 <br /> MANIFEST A-6549 <br /> r <br /> GENERA ton(_oPY 1 0, 1 <br /> RF-CHV I-I i I s , 1 1 i�194 <br />