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j `(e,P'0RWARD� NON-HAZARDOUS WASTE MANIFEST <br /> � WASTE TREATMENT AND DISPOSAL FACILITY <br /> CORPORATED _ <br /> JOB ACCEPTANCE NO.� <br /> ^ENE T R �'` "' ' ` fEC3.,.111�ED PERSONAL f_ROTECTIVE ECtUIPMENT <br /> _ - <br /> _MGLOVES C]GOGGLES [:]RESPIRATOR ®HARD HAT <br />' MAILING'ADDRESS _ <br /> �� ❑TY-VEK [:]OTHER <br /> 521 Wend Pim ftvd � r— --- SPECIAL HANDLING PROCEDURES <br /> GITYt STA'( ZIP <br />' . lakCA 95245 <br /> - .PHONE <br /> (209)943-2011 — <br /> 'CONTACT PERSON _ --- - -- _ <br />' Nkk Batesw - <br /> SIGREOF_AUTHORIZED AGENT/ TITLE <br /> "t! RECEMNG FACILITY r.- <br /> WASTE TYPE <br /> ❑ SLUDGE FORWARD INC LANDFILL <br /> • ❑ flls�osAL soI�IL � NON-FRIABLE ASBESTOS WOOD 9999 SOUTH AUSTIN ROAD , <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • <br /> GENERATING FACILITY (209) 982-4298 PHONE_ __ _. _ _ - <br />' MLftddeRoad zAT13ROP (209) 982- 1009 FAX <br /> � TRUCKNUMBER <br /> AME L k <br /> / <br /> ADDRESS a _ TRAILER LIC # <br /> pZ <br /> TRAILER LIC # - <br /> • <br /> CITY, STATE, ZIP 1k,"? 4 v/ _ <br /> END,p BOTTOM DUMP TRANSFER <br />' RHONE _` .� `1- 3 -'!!F7�� Z 90 - ❑ - - ❑ <br /> SIG RE OF AI�THO LED AGENT OR DRIVER DATE ROLL❑OFF(S) FLA❑BIrD VAN w DRE S <br /> 16421 <br /> C Y Dye <br /> FORWARD INC. LANDFILL CUBI , <br /> iForward 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 METHOD O BE COMPLETED BY FORWARD) <br /> impairs the saie and effective operation of the Landfill Forward shall use DiSP EBIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the r1 <br /> waste for any reason If Forwards refusal to accept the waste is based on 01L <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 ❑ SLUDGE <br /> the waste <br /> • REMARKS j NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER ❑ WOOD <br /> ' SIGNAR ^ AU ORIZED GENT _ D E <br /> - ❑ ASH <br /> �� �� ❑ OTHER <br /> O 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> SSCHEDULING UBJECT TO REFUSALFBUPON ARRIVAL E PRIOR TONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> ' TO SCHEDULE CALL (209)982-4298 MANIFEST # C 720231 <br /> F01(C9511NH)6 96 SALES COPY <br />