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i <br /> -< � _ NON-HAZARG�;;US WASTE MANIFEST <br /> 1 V`�i+� ■ A�D WASTE TREATMENT AND DISPOSAL FACILITY <br /> rnrc_ .W . i <br /> JOB ACCEPTANCE110. � <br /> MG <br /> QRTCGLOVES ❑ IRATOR OGGLES0 RESPIRATOR HARD HAT <br /> LDDRE55 a ,�� ,.•_q ❑TY-VEK []OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> TY�STATE,.ZIPkw- <br /> �j 77 Ck]C-Aj <br /> L <br /> PHONE" :r- <br /> �JNTA .PERSON <br /> RIGNATURE OF AUTHORIZED AGENT" <br /> TYPE -. RECEIVING FACILITY <br /> IWASTE <br /> L ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> �] DISPOSAL SOIL ❑ wooDgggg SOUTH AUSTIN ROAD <br /> ] CONSTRUCTION SOIL ❑ ASH r_1 OTHER MANTECA, CALIFORNIA 95336 <br /> L <br /> ENERATING FACILITY _. „- (209) 982-4298 PHONE <br /> (209) 982- 1.009 FAX <br /> F <br /> •- ,J a l_ .r ,� r_�..�4 , R.4a.�;.._....,.... Kx.i�.k' ��' C:K=I�lUN1BER�:.�.� <br /> rIT STATE,ZIP <br /> �� c,.. ;, !r-•c �a•. . . C c� T 5 �sem,, <br /> ONE Y s x r:_ OTT RA <br /> r ._.... :,1.. } _.,w..,. . .. {:.. END DUMP: . .M. . ;B(?TTQM DUMP T IVSFER-� <br /> [GNATUR F AUTFI AIZED AGENT OR DRIVrtFt ;_.FLAT=BED +4VAN D MS <br /> FORWARD INC. LANDFILL ;CUB - YARDS" <br /> Forward shall have no obligation to accept the waste if weather or other <br /> :onditions impair the safe and effective disposal of the waste or if the waste <br /> mpairs the safe and effective operation of the Landfill. Forward shall use �DI$P•OSAL..A/EET'OD Tx (-TO BE COMPLETED,.BY;EORWARD) <br /> asonable-efforts to promptly notify Disposer of its inability to accept theDISy1SE x'810 AE <br /> RATE STOCKPILE pTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on � -, �... M_:.. _ <br /> nreather or other site conditions,Forward shall notify the Disposer when site OIL <br /> :onditions are expected to change such that Forward will be able to accept <br /> `he waste _ ❑ SLUDGE <br /> , <br /> -..�.•w..,, ,.. .-.revue <br /> NON-FRIABLE , <br /> ❑ ASBESTOS ' <br /> �CILITI(aTICKET'NUMBERa` n �;i° -.,•_ <br /> WOOD <br /> � <br /> IGNATUF'E ;AUT ORIZE =�GENT ''` '�=x D E ' �" x <br /> "kr 244— <br /> ASH <br /> ❑ OTHER <br /> 5d EDULING ..LUST BE ?RADE PRIOR-TO 4:001 P.M. THE DAY PRIOR TO ENPECTED ARRIVAL, s ANY UNSCHEDULE'] LOADS ARE <br /> •� _ —r _ _. _ - . — .. :lr inn, ._r .4,—'.,,�{, , — .i — — <br />