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ORWA :. "-NON-HAZARDOUS WASTE MANIFEST= <br /> I N C O R P O R A-TED WASTE TREATMENT AND..DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> EGENERATOR " ra , A REQUIREDRED�PERSONAL-'�PR�TECTIVE`E0-1 MENT`` :z <br /> > �1 {.d _ ❑GLOVES []GOGGLES Q RESPIRATOR []HARD HAT <br /> M�AlEING ADD - -� R <br /> T� ❑TY-VEK ❑OTHER <br /> jj <br /> �}W � ,e= T -�--�:fi + -; SPECIAL HANDLING PROCEDURI=S: <br /> CITY`STATE,ZIP.`' �* -sre <br /> PHONE <br /> :CONTACT PERSON E•;° ����� `,'�°_�T <br /> ��SIG <br /> .. OF: `THORAGEN <br /> ITUE -. DATE' t,'A 7-T-7- <br /> ( T. <br /> -T-F <br /> 'WASTE TYPE .` _ RECEIVING FACILITY <br /> t' <br /> ❑ SLUDGE <br /> ' E] TREATMENT SOIL r_1 NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • 6rDISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> " ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING"FACILITY .. _ _ �. _- ---�.._ (209) 982-4298 PHONE <br /> ' (A 10 Act ������ rc. (209) 982- 1009 FAX <br /> .NAME , <br /> � M M� � NOTES: TRUCK'NUMBER. <br /> 'ADDRESS; /,•, �[ __ __ _ ,, ,I 1� <br /> Lt's�w���,;-----• Gf/T`l j <br /> ;i <br /> PHONE. 1=ND DUMP" s_ BOTTOM DUMP''._. TRANSFER <br /> SIGNATURE 0F'AUTHO .AGENT OR"DRIVER�♦DGAjT�E ROLL•-OFF(S) *. `FLATBED VAN DRUMS_ ,r•_ <br /> _ ❑ ❑ <br /> FORWARD INC. LANDFILL ;cuslcx oS.. . <br /> .. .' <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 ISP AL` METHOD:,o,% (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 th DISPOSE BIO• :AERATE 570CKPILE `.OTHER.' <br /> ' waste for arty reason. If Forward's refusal to accept the waste is based a <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 f <br /> the waste [:1"SLUDGE <br /> .; ' . �"� :'�,Ci:i•^�^fir�sa.`A:4� .h?��'' '-f`a: �' 'x`°`° - '- <br /> REMARKS "NON-FRIABI l= <br /> 1,_,,-.ASBEST0S <br /> - F G LITY,, TICKET,�'r UMBE _:•.��.,- � `_"` a �� "�'��� ��� .•, - -- _ <br /> .WOOD <br /> •SIGrlAT E�•'U 'ZED G '��� A���`'� - .`�.": , . . <br /> E] ASH - <br /> { *.. :, r ❑ OTHER <br /> - sSCHEDULING MUST BE MA P TO 4:00 P.M:-THE DAY PRIOR TO"EXPECTED"ARRIVAL s ANY 'UNSCHEDULED LOADS ARE - <br /> " x-SUB.3ECT�; O REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> SCHEDULE CALL.(209)982-4298"� . <br /> - MANIFEST"# 6 4 7 5 3 <br /> TRANSPORTER COPY <br />