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04/15/2002 MON 10,29 FAX 209 406 1067 FORWARD INC I�jO11i011 <br /> Keller Canyon C3Ox Mountain ❑ Newby Island XFwward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 Batley Roan f 2310 San Mateo Road 1601 Dixon Landing Road 9999 S Au$ten Road <br /> PMOu ,CA 94595 Hal! Moon Bay,CA 94019 MdpUS,CA 95035 Manteca.CA 95335 <br /> Phorle (925)468.9900 Phone(650)726-1819 Phone(408)845.2600 Phone(209)982.4298 <br /> Fax(625)458.9891 Fax (650)726-91W Fax(408)252-2871 Fax(209)9'82-1009 <br /> i - NON-HAZARDOUS WASTE MANIFEST <br /> N RAT R WASTE ACCEPTANCE NO. <br /> t7„ r — <br /> MAILING ADDRESS � <br /> p C;O 1 <br /> CITY,STATE,ZIP R PERONALFROMMMETUDIPMENT <br /> Qv. �t ZI btGLOVES 0 GOGGLES a AESPIRATOR A~D HAT <br /> PHONE <br /> t 91 ZU - it13 O TY VEK O OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES <br /> ' IGNATURE OF AUTHORIZEP AGENT/TITLE DATE <br /> ' CWitRUOR6 09RTWr-ATION 1 iw ubT OMb rye eye e" I—) ntauWmi by M A 6arawMMM <br /> •aM�tl dM�wd 6►r�CFR Pwl liT o ms.7Z of LIN GrWarde a�d.�+la�orr,Tau�n piOpQrp <br /> QwaboW dwsom 6v pegwowa.wd m in prgw ea so TP rr.ypeesmaon ^C to apDbraEm <br /> hwariwo <br /> 49�60�P�id 4 I arA WW WrMA To�bw P o I W5 <br /> •WwdaM WM On of r0 urn raft 791 aj b m brgR a howduua wail a.kW by RECEIVING FACILITY <br /> ' <br /> 40 GM rM 761 <br /> WASTE TYFC <br /> ISPOSAI. 13 SLUDGE —. <br /> O OCMSTRUOMON 0 WOOD <br /> DEBRIS O OTHER <br /> * <br /> Q SPECIAL WASTE <br /> GENERXIIING FACILITY <br /> 3-4515 N-A'Apu rd Avg- S CA <br /> TPANSPORTER NOTES jVL941CLELIC*TJ9ENLM8EA TRUCK NUMBER <br /> ADDRE <br />' CITY,S ATE <br /> PHOGE EN MP BOTTOMDUPF TRANSFER <br /> ei— <br /> SIGNATURE OF AUTHORdED AGI; ER DATE ROLLFF 5 FLAT-BED VAN DRUM <br /> t Q a a <br /> xg <br /> 0 ENC YARDS <br />' 1 hereby Certify that the above named matanal has been <br /> accepted and to the belt Of my knowledge thio foregoing DISPOSAL NEn= (tO BE GOMPLEMD BY LANDFILL) <br /> is true and wouratle <br /> DISPOSE OTHER <br /> a SOIL <br /> REMARKS <br /> CI CON$TRUGTIpN <br /> DESF' <br /> PAC rryT! NULWER IS _i�NON-iOHi-F,x1lABi.E <br /> ASBESTOS <br /> SIGNATURE OF AUTHORMU AGEN WOOD <br /> O ASH <br /> O SPECiAL01"r ER <br /> memo mommomm�� -- BISBEE <br /> WHEDUUNG MUST BE MADE PRIOR'I'O 3:00 PJiI.THE DAY PRIOR TSO EXPEGIW ARRIVAL I ANY UNSCHEDUM LOA09 ARE SUf.IECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> MfANIFE$T# 27326 <br /> r <br />