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IF' ' ■Iw NON-HAZARDOUS WASTE MANIFEST <br /> ARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> ME JOB ACCEPTANCE NO. <br /> EN fERrZ v EOUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> MAI <br /> AGLOVES GOGGLES RESPIRATOR HARD HAT <br /> LING A L DDR 5 ❑ [:]GOGGLES <br /> ❑TY-VEK [ ]OTHER <br /> CITY, WATE, ZIP _f — SPECIAL HANDLING PROCEDURES <br /> i 4TAC?T ARSON <br /> SIGNATURE OF AUTHORIZED AGENT'/ TITLE DATE <br /> i <br /> n <br /> WASTE TYPE RECEIVING FACILITY 4T, <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LAIC PILL <br /> 'DISPOSAL SOIL ❑ WOOD <br /> CONSTRUCTION SOIL <br /> ❑ ASH 9999 SOUTH AUSTIN OAD <br /> El OTHER � <br /> MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209)`982-4298 PHONE <br /> (209) 982- 1009 FAX- <br /> Alp NOTES - ,,, TRUCK NUMBER'r ,r, <br /> ADDRESS r L (/• � � / 'L !/GSC / �C� , <br /> • CT ,STATE, ZIP / , <br /> �Ho?E . <br /> -END DUMP '" a ,'`r BATT DUMP <br /> SIGNATURE OF,� HORI ED AGEN OR DRIVER DATEROLL-OFF(Sj ,-.'�n. `IT{gT_EEpira�ANQR <br /> FORWARD INC °LANDFfLL Cum YARDS �; =tiR ;a �n" ow <br /> +'� <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 DISPOSAL METHOD (TO BE COMPLETED BY PORWAaD) <br /> impairs the safe and effective operation of the Landfill Forward shall use r, <br /> reasonable efforts to promptly notify Disposer of its inability to accept the %a r' DISPOSE ', fcl ,RATE ST410KpIf E 10 HES'� <br /> waste for any reason If Forwards refusal to accept the waste is based on S <br /> weather or other site conditions, Forward shall notify the Disposer when site IL <br /> ' conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ <br /> REMARMA6 SLUDGE <br /> ❑ NON-FRIABLE <br /> PACILITV,TICkET NUMBER -'- L - ASBESTOS <br /> ❑ WOOD t <br /> SIGN�4 PAUT+IZE /} ENT JDATE'-, ` <br /> w i <br /> OA <br /> SH t <br /> `� �`" ❑ OTHER <br /> SCHEDULING MUST RE MADE Pnion to 4 o p flfF DAY PRIOR in FXrEGTFD ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> UR IECT TO RFFUSAL IIPON ARRIVAL ONGOING DAILY DFLIVERIES MtISf 13F SCI IFUULED WITH TI IE LANDFILL THE DAY BEFORE <br /> rSCHEDULE CALL (2041 982-42g6 MANIFEST A, 6550 <br /> , <br /> rr <br /> GENT HATOR COPY QF: <br />