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..NOWHAZARDOUS WASTE MANIFEST <br /> L N C O R r O !Z A.T'F D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> GENERATORS '' REOUIREDfPERSONA`,PROTECTIVE:EQUIPMENT-- <br /> _- <br /> I I C1 v1 �q, �� C O ❑GLOVES [:]GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> AILING ADDRESS ° _ ❑7Y-VEK ❑OTHER <br /> I ,§TATE ZIPP—. B y SPECIAL HANDLING PROCEDURES: <br /> eA <br /> - ae <br /> CON�7RCT PERSON- <br /> SIG NATURE;OF,-AUTHORIZED AGENT"/.TIT_LE <br /> • WASTE-TYPE RECEIVING FACILITY, €_ <br /> A <br /> ❑' SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSCONSTRUCTION <br /> SOITIO ❑. ASH 9999 SOUTH AUSTIN ROAD <br /> �GONSTRUCTION SOIL ❑"ASH I. <br /> !� <br /> OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE } <br /> ' .,nil 0a;A1 Co. (209) 982- 1009 FAX <br /> NOTES: STRUCK NUMBER <br /> 'NAME'S <br /> • CITY;.STAT ;ZIPy�� <br /> left o� AIC <br /> _PHONE EN_D DUMP_ BOTTOM DUMPS TRANSFER <br /> 21 <br /> SIGNATURE O AUTHORIZED AG TOR DRIVER -DATES e ; ROLL-OFF(5) � _ FLAT SED_ VAN DRUMS <br /> El ' El <br /> 46- <br /> CUBIC YA <br /> FORWARD INC. LANDFILL — � <br /> . <br /> Forward shall have no obligation to accept the waste if weather or other b <br /> conditions impair the'sate and effective disposal of the waste'or if the waste DIS $ { T -(TO BECOMPLETEDBY FORWgRD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DI �Q5 [I AERATE STOCKPILE OTHER w <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> -, <br /> weather or other site conditions, Forward shall notify the Disposer when site <br /> • conditions are expected to change such that Forward will be able to accept <br /> ` the waste ❑ SLUDGEvL'1 `t Z f <br /> REMARKS ' . : �_ _ <br /> "..:_"__.::, ❑ NON-FRIABLE <br /> ' �FACILITY.��ICKETNUMBER -�- ;w _ s ASBESTOS <br /> OF'A R DAG DATE <br /> ENT '4 — - ''' <br /> ❑ WOOD <br /> . <br /> _ - ❑ ASM ' <br /> - ❑ OTHER <br /> SCHEDULING'MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED'LOADS ARE <br /> SUBJECT.T0 REFUSAL <br /> TO SCHEDULE ALL(0909 ARRIVAL;ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH.THE LANDFILL THE DAY:BEFORE. <br /> MANIFEST # 64747 ' - <br /> TRANSPORTER COrY <br />