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ARD t, NON-HAZAF�US WASTE MANIFEST <br /> Jf WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0,. C "u" - O v <br /> GENERATOR /l F4 �{EQUTAED:P�i_RSO[VAL PROTECTEVE EQUIPMENT <br /> _. <br /> nu GLOVES ❑GOGGLES Q RESPIRATOR ®HARD HAT <br /> MAILlr, ADDRESS r.,r, r a y { s�"�;; ❑TY-VEK ❑OTHER <br /> C!T_Y,-STATE,ZIP SPECIAL HANDLING PROCEDURES: <br />.} <br /> VIM <br /> PHONE <br /> PHONE, ,✓, >r�� r <br /> r. <br /> CONTACT PERSON <br /> p SIGNATURE OF P�UTHORIZED'-AG NT:( T1TLE , DATE A <br /> FECENING FACILITY <br /> ❑ SLUDGE q <br /> © TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br />�, ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING <br /> _.FACILI.T_.Y.,:.,as'-��=ter._ :u!•,�a- t111= (209) 982-4298 PHONE <br /> .(209) 982- 1 009 FAX <br /> NAMENUMBER <br /> ADDRESS <br /> u. <br /> • CITY,STATE,ZIP µ1 �ti •� �` <br />'r Cr��1T6 C C,6. <br /> HONE � 7u, 4` <br /> END,DUMP 'r�,,„$OTTOM DUIVIP , NSFER <br /> �LEl <br /> � /u w x <br /> 31GNATU,RE.OF AUTHORIZED AGENT DIVER ❑ 'V" "" ❑ <br /> DATE ,ROL!_-OFFS) FLAT BED 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 <br /> impairs the safe and effective operation of the Landfill. Forward shall useDISPQSAL.METF{OD:� (TO"BE COMPLETED BY.FORWARD)" <br /> reasonable efforts to promptly notify Disposer of its inability to accept the F, _ "DISPOSE'' H10� # RATE STOCKt1LEpTE IER t <br /> waste for any reason. It Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notify the Disposer when site . 0.601L <br /> conditions are expected to change such that Forward will be able to accept/ <br />�r the waste <br /> , : .�~... ,� -�• ,��� +'` ❑ SLUDGE <br /> TP-a- ❑ NDN-FRIABLE <br /> rh..,r_ti s� <br /> Alf <br /> ACILITY TICKASBESTOS <br /> 7. <br /> ❑ WOOD <br /> SIGN,T E,OF AUTHOREZE=D <br /> Y .: <br /> � • `... .C G � .� ' .",� i� � ❑ ASH <br /> ❑ OTHER <br /> 5: 'E-UL'NG ',1US o 3E MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> p <br />