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04111i1001 HON 10 11 FAX 108 366 1007 FORWARD INC Z009/011 <br /> ' ❑ Kellar CanYon ❑ Ox Mountain 0 Newby Island Forward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9988 S Austro Road <br /> Pittsburg.CA 94565 Hall Moon Day,CA 94019 MNpltas,CA 95035 Manteca,CA 95336 <br /> Phone(926)458-MM Phone(650)726-4819 Plane(408)945-2800 Phone(los)e92-4298 <br /> Fax(925)458-9891 Fax(850)726.91 B3 Fax(408)262-2871 Fax(209)982-1009 <br /> iNONHAZARDOUS WASTE MANIMT <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> >n r, <br /> ' MAILING DDRESS go <br /> CITY,STATE. IP =RE15 ISERSORZPROTECTIVEN <br /> ' ONNEE a a t C1 0 IWI LOVES a GOGGLES n RESPIRATOR I444ARD HAT <br /> PH <br /> Q r U TY VEK O OTHER <br /> C ACT RSON SPECIAL HANDLING PROCEDURES <br /> >'I <br /> SIGNATURE OFAUT1iORIZE AGENT!TME PATE <br /> * D pk;t <br /> Bi lER0.MXS C9RnFr.ATK 1w t carbty Ihu the ahww tot maarw b oat a haaaNaw <br /> wady ar 6AMM by 40C M Pari Qat or boo 72 at the cgftwia Owls 0[rsi;Watkr*has titian pmm& <br /> ,iwor- ,dawfim and 06OMaprd,and in WL proper aax""to venw atknrommilive a^to eOrdf w <br /> ar M� t ppy r w wwram nol"91 ra p oplawly� siat+�raar <br /> reOardar.».itt+dr nawr.+we d ao CFrI Can�anti k no brrpo<a herarOwr w.a as eilllnad dr RECEIVING FACtt.ITY <br />' fPot td6S <br /> WASTETYPE <br /> %13WOSAL Q SLUDGE <br /> 90ONSTRUCTION ❑WOQD <br /> a DEBRIS O OTHER �.... — <br /> 4 SPEWL WASTE <br /> GENERATING FACILITY <br /> -10 <br /> T'AANSPORTER / TES jVF.MCUWMNSENUM9E,Rj TRUCK NUMBER <br /> ADDR 5S <br />' CITY,STATE621P <br /> END DU BOTTOM_DUMP WANSFER <br />' A OA ZED AGENT 0§1 DRIVER-- ATE= LL-:)FF S FLAT-SM VAN DRUMS <br /> * I <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been <br /> aocepted and to the best of my knowledge the foregoing olsPosAL MErnOD (M SE CoMpLETED BY LANDFILL) <br /> Is true and accurate. <br /> DISPOSE OTHER <br /> iRENARILS O 301L <br /> Q CONSTRUCTION <br /> 111 <br /> F 71C NUMBER NON- B pNDN-FRIABLE <br /> ASBESTOS <br /> SIGNATURI OFAVTMORIZirDA DATE <br /> o wovo <br /> yk / ASH <br /> 5 cML OTHER <br /> SCHEDULING MUST BE MADE PRM703:00 P.ALT14E DAY PRIOR TO DaPdCTED ARRIVAL+ANY tiNSCHEDULEo L61 AIRF SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST Be SCHKOULED WrrH THE LANDFILL THE DAY BEFORE, <br /> aweeFttx aoPv MANIFEST 0 27327 <br />