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y <br /> " ,:` NON-HAZAI <br /> �' SUS WASTE MANIFEST <br /> �RD A. WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. C*'AO. <br /> JOB ACCEPTANCEO. <br /> GENERATOR ;REQUiR.ED.PERSONAL_P TECTNE;EGQUII?MENT <br /> NC G'T�• ��/� ®GLOVES Q GOGGLES ❑RESPIRATOR ©HARD HAT <br /> MAILIN DDRESS :, ❑TY-VEK ❑OTHER <br /> 4• Lit x G / SPECIAL HANDLING PROCEDURES: <br /> CIS Y,STATE,Z1P ` <br /> 57- <br /> PHONECONTACT PERSON t °� <br /> Ott ve- firk�ve.�( <br /> SIGNA�RE OFA THORIZED A. ENT"1 TITLE.'y* ;DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> .. <br /> ❑ SLUDGE <br /> ` ❑ NON-F"IABLEASBESTOs FORWARD INC. LANDFILL <br /> 'a DISPOSAL Sol ❑ WOO <br /> �STRU Ohl SOIL ❑ AS 9999 SOUTH AUSTIN ROAD <br /> ❑ OOER MANTECA, CALIFORNIA 95336 <br /> -GENERATING FACILITY (� `"r — <br /> �.�u .: �._ .a_. .. 209) 982 4298 PHONE <br /> CitJG� (209) 982-1009 FAX <br /> NAt § f <br /> .. <br /> NOTES a <br /> r,:-._. ....:. � .: "� ,�r r � ;,� r F,�•TR�JCtC;iViJMBERa.�, <br /> l til 1 <br /> ADDRESS�,y�w „��� � w�' i ,� //../�'.} <br /> CJ"a- e,+.. MAI, t:�c' �>.iF.rf4a'..._ i: V L� <br /> - CITX,STATE,ZIP.::� `. . �! <br /> PHONE <br /> ;BOT !VI' <br /> - TRANSFEE� . <br /> ❑.:� <br /> El <br /> SIGNATIIR OF AUTHO ZED AGENT OR DRIVER DATET f ' ' ; ROLL <br /> OFF(S) `L FLAT- r :VAN` DRUMS <br /> FORWARD INC. LANDFILL <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 pISP05AL METi IOp TQ 8E 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 the. ^r DISPOSE `BIO JIERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notify`the Disposer when sit <br /> eSOIL <br /> •I the <br /> conditions <br /> aste.are expected to change such that Forward will be able to accept f <br /> ❑ SLUDGE <br /> REMARKS. <br /> II <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER "" ASBESTOS <br /> ❑ WOOD <br /> SIG14ATURE OF AUTHORIZED AGENT: DATE <br /> j ❑ ASH <br /> "❑ OTHER <br /> `.' NEaUL!NG -VI 3E MADE PRIOR TO 4.00.1P.M. THE DAY PRIOR TO EXPECTED_ ARRIVAL + ANY QNSCHEDUL D +_CADS `.FE <br /> = .. <br /> 7 .. .-.1•., .. ..i y y,r 1!C.� jt!r _ �t�} _.» 'iii - ••'r ... - , __ .— <br />