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a <br /> NON—HAZAF�]US WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> ,. <br /> JOB ACCEPTANCE N0. <br /> SEN TOR _ " ' iEQV RED;PEi SQN LPROTECTIVE E"gU1PMENT <br /> �x. ._.R P, ,w. .0 sfi.ka'.1iY <br /> /Cl G/` T� 'GLOVES [:]GOGGLES []RESPIRATOR M'HARD HAT <br /> I ADDRESS ❑TY-VEK []OTHER <br /> r 1 syuR'�: SPECIAL HANDLING PROCEDURES: <br /> STATE„ZkP ; <br /> PHONE. _ G�CTCA,t1 <br /> �. C'f ..•. - .�:' .::,t.;,:.�:»•,. . <br /> CONTACT PERSON s <br /> SIGNATURE OF AUTHORIZED AGE „ /.T_ ITL!":: _ <br /> WASTE TYPE �'RECEIVING FACILITY <br /> ",.- <br /> ❑ SLUDGE <br /> �] TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> •� ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION'$OIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> al=N1=RATING FACILITY _- (209) 982-4298 PHONE <br /> y (209) 982- 1009 FAX <br /> rrwc,�, T <br /> NAMEr '. .ti`. f ICK <br /> i� V C i •r c. -� <br /> 5 ADDRESS <br /> ..^ . .,,,„,.z..._.�„.;.vL'. • . ..._fin.. �,�_ ,..,_..�..�,..� .��.��+, <br /> CITY_ ,STATE �.,.• -•mcr t- <br />. � <br /> HONE EtJD.DUMP � ��'+BOTTOM ;:TFiANSFER <br /> � { �� ..... DUMP s. <br /> SIGNATURE OF AUTHORIZED AGE TOR DRIVER DATEOLL <br /> ❑ °? �� <br /> r� <br /> R -OFFBED ;_ VAN :DRU❑MS <br /> El <br /> FORWARD INC. LANDFILL Ncucc:YARDS Wte. ,„<yYb, �, 1 <br /> Forward shall have no obligation to accept the waste if weather or other <br /> jl 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 Dl_SP..OSfILz(V1ETH0[7. 70:BE.:COIVIP[ E1 ED.BY:FORWARD) <br /> P and shall use , , <br /> reasonable efforts to promptly notify Disposer of its inability to accept the + ' DISP05 r KBIO RA E STOCLE OTTER <br /> waste for any reason, If Forward's refusal to accept the waste is based on "”"€” `' `� '`” " w "" <br /> weather or other site conditions,Forward shall notify the Disposer when site ❑�S�I�—.- <br /> conditions are expected to change such that Forward will be able to accept- <br /> the the waste. ❑ SLUDGE <br /> frr�REMARKS. P g;G •,,vy t�tr�s r <br /> Icli !1 <br /> ' y ,, NON-FRIABLE <br /> =AGILITY TICKET.NUMBER "��^ »` " 0t ❑ ASBESTOS <br /> e , <br /> ti ❑ WOOD <br /> L-SIGT6RE,OF AUTHORIZED AG _ ° <br /> ++ , /r ASH <br /> i' ❑ OTHER <br /> S' HEDULiNG ',11;5; 3c MADE PRIOR TQ!4:00 P.M. THE DAY PRIOR TO EXPE=CTED ARRIVAL + ANY UNSCHEDULED LOADS ARE <br />