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�_,T A.- <br /> :,0 R. .- <br /> WR-14 .: ` NON-HAZARDOUS..WASTE MANIFEST <br /> :Pdl­' WASTE TREATMENT AND DISPOSAL FACILITY <br /> CDR <br /> yy �JOR-ACCEPTANCE N0. .' r&D. - .. <br /> ,GENERATO W, REQUIRED PERSONAL!?ROTEC7IVE4ECQE11PItiAENT•;x' <br /> ❑GLOVES [:]GOGGLES ElRESPIRATOR E3 HARD HAT j <br /> �MA1L_ING�ADDRESS .. ,,: ,W= f .47 <br /> "` ❑TY-VEK ❑OTHER <br /> [CIT <br /> Y°...STATE;ZIP � ', " X; SPECIAL HANDLING PROCEDURES: . <br /> 6,4 <br /> EPH <br /> _qN <br /> ' ,Q? ACT:PE RSOIV - - <br /> 'SIG TU E OF AUTHO 2EQ``AGENT f.SiTL DATE <br /> �k / � . • r�/.. � <br /> WASTE TYPES, `RECENING FACILITY'S r_ :.: <br /> ❑ SLUDGE' <br /> • TREATMENSOIL ..N'O'N-FRIABLE ASBESTOS , FORWARD INC..LANDFILL <br /> T <br /> • DISPoSALsoIL::: ❑ woOo "9999 <br /> JSOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION S01L _].,.'ASH <br /> OTHER MANTECA, CALIFORNIA 95336 <br /> 4N;RATINGFACILITI! � _�• w. (209) 98.2-4298 PHONE- <br /> � � (209).982-1009 FAX <br /> NOTES: -TRUCK NUMBER <br /> ADDRESS. — _W _: e / / 5 <br /> 'I . � <br /> • CI ATEi-ZIP <br /> _j END.DUMP SOTTOM`DUMP' - ,TRANSFER ; <br /> El <br /> SlGNATU.RE OF AUTHO I-�D�AGE_NT OR DRIVER: DATE OLL'-OFFS) FLAT-BEC;. VAN fjRUMS__ f <br /> 07 <br /> El 0 <br /> !I f �.. ' <br /> FORINA :1 C.LAND <br /> uslc Ya,RDs � <br /> r, 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 if the waste DISPOSAL" EPff (TO BE COMPLETED BY FORWARD); <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 _�L D �q, tD: _AERATE STOGKPILE OTHER, <br /> waste for any reason.if Forward's refusal to accept the waste is based on• �'� __ - <br /> weather or othersite conditions;Forward shall notify the Disposer when site SOIL s~ I <br /> ' <br /> conditions-are expected to change such that Forward will be able to accept <br /> the waste.. ❑ SLUDGE.�i^ <br /> ,..mac:-_' F IA e= <br /> i ON- L <br /> 777R B <br /> F,ACIL`ITY, ICKET 111EBER ❑ NASBESTOS i <br /> .. ❑ WOOD <br /> R F.AUT - D AGENT - _ <br /> { - ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BftjWffE PRIOR .TO'4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL c ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE-. <br /> TO SCHEDULE CALL(209)982-4298" <br /> 64751 <br /> � <br /> MANIFEST <br /> U# 7 5.L ' <br /> �R f ' <br />