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. NON-HAZARDOUS WASTE MANIFEST
<br /> RD` WASTE TRL.. ,NIENT AND DISPOSAL FACILITY
<br /> A7!lC.: : . T 1 i
<br /> JOB ACCEPTANCE NO..
<br /> UIREDPERSONA� ROTEC,TIVEyEC1U1 MEN au`
<br /> \\ H ❑GLOVES ❑GOGGLES [IRESPIRATOR ❑HARD HAT
<br /> MPSI NG AD RESSTIE .Er4CI7 . TYENG, � ,e z _
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<br /> -VE [OTHER
<br /> s,wil.arwl,.Stx •. ..d,,!:'"T"'.aYt„ ,.S�dCa'i '.��''yY�'` w. i
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<br /> 5
<br /> 00 SPECIAL HANDLING PROCEDURES:
<br /> CITY STATE-ZIP � s � � n,�,ra�,,,�.J:"` FU,.�A
<br /> • '.uan'<...LS mix...... ., z:.:r v�m.�a�,i.E:3.. r'_atu.. -.u2�Sas;AYYdJk� -
<br /> • WASHINGTON, DC �' 2047.21 F, i j� raai "n
<br /> L PHONE" ,ws
<br /> 000-646-306-1-
<br /> 5"y
<br /> CONTACT PERSON �� ♦" 's )�A"
<br /> - u..u......v.L'..t.-X.rvu1rL•a.u_¢�n�a:�.J.a.G�...nSrLs +.f.u.f4.4'Y h�.�•t.✓.rKtiFSI W'SL .. _
<br /> L SIGNATURE OF itll"OiiM V
<br /> WASTE TYPE.. ., _ ».»....'` t urs RECEIVING FACILITY.r.,.,
<br /> .. r, v v,1 ,e}a2...rI....,eE.0 a... ..fi.' ..
<br /> ❑ SLUDGE. ,. -
<br /> •
<br /> [I TREATMENT SOIL ElNON-FRIABLEASBESTOS FORWARD INC. LANDFILL
<br /> V • ❑,DISPOSALSOIL ❑ wooD 9999 SOUTH AUSTIN ROAD
<br /> ❑ CONSTRUCTION SOIL ❑ ASH. a :.
<br /> • ❑ oTI1ER MANTECA, CALIFORNIA`95336
<br /> GENERATINGFP�CILITY „ „-'t ';i i a,>i "?"vs�,li; (209) 982-4298-PHONE
<br /> KJA?i'`RADI°' (209) 982- 1009 FAX, 1,
<br /> 5451 E .HARDING WAY
<br /> STOCKTON,. CA. ;
<br /> tt ,r fi is J` '9 wlrY sy} £ 1c M w �r}' y• y r
<br /> NAME,.: fix a NOTES `� 'fids a F�3lJ�CK N,IM,REF{
<br /> .
<br /> A DRESS & SONS-TRU> IN ,P G
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<br /> �� .*
<br /> 1r CITY`STAT„E ZIP � .ww � z�=M �i^:
<br /> SACRAMENTO MCA , 98'S • x
<br /> kc NEN0 DUMP.. M 4 BOTiTO❑M DUNIPa. zs et1SFE Sa
<br /> PHONE t us.,��aE� 3*#�
<br /> ( 916) 381-6364
<br /> c m jT-"'13
<br /> SIGNAT,UR =0F UTHORIZED AGENTyOR DRIVER �y DA, T z'? �� UgLL; F..F.F,(SL�SZ y; FLATBED t�s EVAN
<br /> El
<br /> ❑-.
<br /> i� O� ❑ ! } L 11
<br /> FORWARD INC LANDFILL
<br /> :YARDS
<br /> L.
<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 dahe;waste X DjSPOS�].N(MET OD u, a(TQ BE COMPLETEDF p D
<br /> impairs the 'safe'and.effective.operation of the;LandfilFt.Forward shall use y rr 4t rt r.' "ORW
<br /> -:reasonable efforts'to'promptly.notify.Disposer of its inability,toaccept the psiE F SKp�LE OT E
<br /> ;:waste}for'any reason: If.Forward's-refusalao accept-the;waste is,based on .-
<br /> L. weather or other site:conditions,Forward shall'notify,the Disposer,when site
<br /> SOIL
<br /> • conditions are expected to change such that Forward wt11 be able to accept
<br /> the waste Q SLUDGE,
<br /> • REM RKS{v.u+a_`.r'"µ':.:�£'t h ts�wt.Tp, S"'+ ;t j :3+ '�,3
<br /> NON-FRIABLE 1
<br /> F. aaxr 7r D ASBESTOS : Ftr w ar
<br /> QWOOD ' ,' •`;> a� G r, r,�,.
<br /> : - t
<br /> �.+
<br /> SIGN^ UR _ vsATrO.Ep;.'; NT,3 % psr.
<br /> ❑,ASH . ,
<br /> f,.a xs' t
<br /> �• r
<br /> ❑OTHER .
<br /> SCHEDULING MU MADEPRIOR;TO`400 .M:'THE-D AY:PRIORiTO'.EXPECTED ARRIVAL.4.ANY:UNSCHEDULED LOADSA.RE
<br /> SUBJECT.TO REFUSAL ARRIVAL''',ONG G DAILY DELIVERIESMUST.BE SCHEDULED WITH.THE LANDFILL THE DAY;BEFORE
<br /> sr:: rpt s „ Mfr,
<br /> :TO SCHEDULE CALL'(209)982-4298 MANIFEST 405'95 '
<br /> TRANSPORTER COPY
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