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J�W,WARD r NON-HAZAK US WASTE MANIFEST- <br /> WASTE TREATMT AND DISPOSAL OSAL FACILITY <br /> JOB ACCEPTA&tk. <br /> GENE ATORREQUIRED.PlFROTECT <br /> RSONAL.PIYE EQUIPMENT <br /> ®GLOVES ❑GOGGLES Q RESPIRATOR ]HARD HAT <br /> / ADDRESS ❑TY-VEK ❑OTHER <br /> iO:L <br /> SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE=, ZIP <br /> CO�r7?A,, <br /> s Y <' 7 • 4y <br /> a, •• � fI: <br /> 'QN`fACT-PERSON <br /> .. <br /> SIGNATURE;OF 7HORIZED AGENT..J TITLE r s <br /> DATE .,,.w•.. <br /> WASTE T " <br /> YPE <br /> " a.,ti. . Xw„ 'i,x• REGEIVING'FACIIJTY, <br /> ❑ SLUDGE <br /> ' TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL ❑ WOOD <br /> CONSTRUCTION SOIL ❑ ASH9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> ENERATENGFACILITY Q9} 982-429 <br /> (2 8 PHONE <br /> {� (209) 982- 1009 FAX <br /> 7(2- <br /> "WE -'... ::t..l.y:...;t -r C'.ii.: t'' ti4�,,ai '�i==,Y7�,:t 4.=?ter`L�,.{• i - 4` <br /> + t :i,} -:Gw.:;,r.._2::a`,:..-'vM'�'_ ;xza '.. HSe.t�.•' '' tW .t`3"���xNO7ES .. ;:'.�._ EA ' ._. .�NTRUGK NUMBER - <br /> a_s. _ •_.. _. <br /> €DRESS. Zi <br /> r r � <br />• <br /> CITY,,STATE,ZIP <br />_ L-IONE „ k <br /> �- �l / s .. ...: �.: s4,.,�:.. yN©.DUMP..: f BOTTOM`DUMP �' 'TRANSFER <br /> 'GNAT R .OF AUTHORIZED AGENT ORD.RIVER DATE `"- <br /> ROLL-OFF(S,) <br /> 1 . of o o . . <br /> FForward <br /> ORWARD INC. LANDFILL <br /> shall have no obligation to accept the waste if weather or other <br /> air the safe and effective disposal of the waste or if the wasteafe and effective operation of the Landfill. Forward shall use �DISPOSALiv1ETNOp: BE COMPLETED BY:FORWARD) <br /> asanable efforts to promptly notify Disposer of its inability to accept the x�* SP.Op gERpOC 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 s' SOIL-" <br /> onditions are expected to change such that Forward wiU be able to ept <br /> ie waste._ �` <br /> MARKS' .• _"`.`1 � '�'� SLUDGE <br /> - <br /> ❑ NDN-FRIABLE <br /> ILM'BE `- <br /> CILIi.Y TI Kt7M Rx;r;�, ; ' ASBESTOS <br /> ❑ WOOD <br /> SIGNEjTUR ,OF AUTHORIZED� �rN a <br /> _._ ❑ ASH <br /> ❑ OTHER <br /> V;. :DULING MUST BE MADE PRIOR TO-4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY llNSC;-IEDULED LOADS aRE <br /> ..^(` - _. :I_ •�ry .! ^}ii !_. "i}f r•}w.}( �.1iL•' _tea iP -�.,� .'t;�T �e ae :� - - - - <br />