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t� TORWAIW NON-HORDOUS WASTE MANIFEST <br /> � <br /> � I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. ft '�.,- <br /> '�rel -_`I.' e. Fs. ":°' <br /> GENERATOR ,� _ - *? '.�; ?Kms; ;� REQUIRED PERSONAL-PROTECTIVE EQUIPMENT <br /> ti ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HA <br /> w�" "' •� ❑TY-VEK [ ]OTHER <br /> MAILING ADDRESS �;�,� � - <br /> W <br /> i` SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIPn <br /> � <br /> S1G URO OF AUTHORIZEP 5GE:ff_'F:-ffLE�_� <br /> 1YVASTE TYPE-L =w t5% y 3 �,r'tG �� H RECENING FACItI fY, '��-` ;� `_•^� ' "` L" <br /> !� �a�._.L_-_ ..#wc.r.u.'_r1=r..i.dy.S.a1•n� �'��3� __ z,c r..a5�1 �4.. � <br /> SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FAC1LlTY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> �_.Y OTEJ <br /> ADDRESS-_- Yo <br /> CITY, STATE,ZIP <br /> PHONE- ' • _ t Y END BOTTOM DUMP TRANSFER <br /> r 1-v.�.. ? r -t-r L.+r. �� ❑ - x - ❑ <br /> SIGNATURE OF AUTHORIZE AGENOR DRIVER_;, DATE=yy_, ;�Y r1OLL-OFF(S)� FLAT BEDr �' �VAN�Y SS DRUMS <br /> - - N - ..... __ .. _❑_ <br /> El IT <br /> CUBIC YARDS=�, °�_r'. ` <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 if the waste DISPOSALHO -_' (TO BE COMPLETED BY FORWARD <br /> impairs the safe and effective operation of the Landfill Forward shall use - Df' <br /> reasonable efforts to promptly notify Disposer of its inability to accept the r x f SE X810 AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on - _ J <br /> weather or other site conditions, Forward shall notify the Disposer when site [SOIL - _ <br /> conditions"are expected to change such that Forward will be able to accept <br /> pr'l <br /> the wase _ _ _ _ ❑ SLUDGE <br /> Kl��ti.—E— tr .�zi <br /> •' '' NON-FRIABLE <br /> FACILffY T1CfCET�IS1iABE� �' _ LL R -T' Y"— ' � Y� ❑ ASBESTOS <br /> SfG�����pp,iUR F�AUTHORIIZ��AGENT '` ' -. DATE WOOD <br /> � ❑ ASH <br /> r ❑ OTHER _ <br /> SCHEDULING IMUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS AI <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFOF <br /> TO SCHEDULE CALL (209}982-4298 MANIFEST # 68005 <br />