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"" �J11 VV�ll�'. NON-HAZARDOUS WASTE MANIFEST <br /> • bR D , WASTE TREATMENT AND DISPOSAL FACILITY <br /> INCO PORATE <br /> _ .e, <br /> JCB ACCEPTANCE N4. <br /> REQUIRED PERSON <br /> ENERA O AL F OTECTIVE EQU1pMENT, <br /> do P fs� -� ®GLOVES [3 GOGGLES [:]RESP IRATOR ®HARD HAT <br /> T t =' r1 � 77" .. '� ❑TY VEK []OTHERMAILING ADDRESS .n. w <br /> CITY,STA M'; „meq SPECIAL HANDLING PROCEDURES <br /> lokCA93245 <br /> � \ r <br /> R ON <br /> irWLI�N= <br /> (209)943-2011_ _ <br /> SON FACT PERSON <br /> ?3tsi:Ba�deel <br /> SIGN ATURE O�`AUTHORIZED AGENT ITITLEr =; DATE T <br /> • WASTEYPEF` . • - ; n�r” __ _ `' RECEIVING FAClLII Y <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • �i] DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> " ❑ <br /> STOCKPILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 2191lga-vyDrtve sOCMION (209) 982- 1009 FAX <br /> A <br /> AME- - TRACTOR LIC # - TRUCK NUMBER <br /> ADDRES TRAILE LIC # ' <br /> 741 ZZI <br /> . CITY,STATE, ZIP TRAILER LIC # <br /> -•Z/r, yI�~ f r L�✓Z END DUMP BOTTOM DUMP TRANSFER <br /> PHONE. El <br /> SIGNATaE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br />' ❑ ❑ ❑ Cl <br /> CUBIC YAF DS <br />' FORWARD INC. LANDFILL , G <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 aUSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall useDISPOSE Blp AERATE STOCKPii E OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept thewaste for any reason If Forwards refusal to accept the was* ;s based onL <br /> weather or other site conditions Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward wsll be able to accept <br /> the waste ❑ SLUDGE <br />' REMARKS --nNON-FRIABLE <br /> ASBESTOS <br />' FACILITY T KI=T NUMBER <br /> J ❑ WOOD <br /> IGN RE QF A HORIZED AGENT DATE <br /> /J C ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • 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 MANIFEST # C `] <br /> FO (G955INH)5 P9 SALES COPY f 1 <br />