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rrnr i�—�el�b 09:44 DEL—TECH GEOTECHNICAL <br /> 209 847 7744 P.03 <br /> `' WARD-w- NON-HA DOUS WASTE MANIFEST <br /> �r •r•1�ayc t'AC.:Trd t fr rti140 Dlor.00,.L 1'1•+OIL t7".� t�i <br /> JOB ACCEPTANCE NO. 1 r <br /> r <br /> REQUIRED <br /> ❑GLOVES ❑GOGGLES DAESPIRATQR DHAT <br /> ZIPSPECIAL HANt?DiZ PR�DURES. <br /> _4 <br /> I <br /> ,.. ; IZED 1=NT TITLE DffE <br /> �.r { FMCEMNG FACILI, s• zr..,iµ. <br /> • ❑ SLUDGE ... <br /> Q TMATMEfuT SOIL Q NON <br /> -1711"I_f, A:Sl3ES•TOS FORWARD INC. LANDFILLDISPOSAL.WIL <br /> CONSTRUCTION SAIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ' ❑ OTHER MANMCA, CALIFORNIA 951 <br /> v GNERATING FACIGf <br /> (209) 982-4298 PHONE^." <br /> L \Or TTII,,� (209) 982- 1009 FAX <br /> _T <br /> A� ss Cf C -3 t 1*5 �T <br /> V T x'3.7 <br /> END DOW <br /> ApAGI~NT OR DRIVER' <br /> DATE RIX -�F�{5? <br /> w * r Q ❑ <br /> h� <br /> V FORWARD INC. LANDFILL cuW WN 7771 <br /> f=1ewa1(i Sh lti 110vo 116 8hliyilion 10 acr- rm 11v vwA3lw it wemliwe ex cA wr 'S { <br /> oo11diws invev'the mte Ind eticctivl;01bpowl 01 the waste or d the waste <br /> it p*s the saly Liana e31tE'Ctwe Oper4on of the Larxllill. Fww#rd %wisll Unit', + . <br /> W6M180V 4 kxl* to prLPAWAly s"fy 0*.mw Of ks irl4i,iiity to i1CG9p1 1tl¢ <br /> waste for any ma-w It Ferwwa's refuut to accept the waste is bwed on <br /> W%ztber of other site:cmditivnu,Forwmi shall notify the ArSiKrw when tilt �•�� �'�_ r: <br /> COMR;90 arrc evc-clod 16 cluange!§ueh that l of-ard will hf Rbk' to ar:c.,Vl <br /> swDar <br /> J1,.Ffir TICKET NUMBER <br /> WOOD <br /> 6w SIONIATURE OF AUTHORIZED AGENT DOE - <br /> i r� Q ASH <br /> a ' ~� OTHER <br /> V =MrQ <br /> WARDNON-HAZARDOUS WASTE MANIFEST <br /> 1r V STE TREATMENT AND DISPOSAL FACILITY' <br /> JOB ACCEPTANCE NO. <br /> 1r <br />