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i <br /> _- =- NON-HAZAF�US WASTE MANIFEST <br /> ADD@RwWASTE TREATMENT AND DISPOSAL FACILITY <br /> LJOB ACCEPTANCE NO. Io. — y <br />[,GENERATOR �. ,: ' k�r �, ,, P�Qg1RED F!rRSONAL PROTECTIVE EQUIPMENT. = <br /> CG?NGi?e T 2. NC� . ®GLOVES []GOGGLES []RESPIRATOR j�HARD HAT i <br /> rr r f wrr1a e "� <br /> AILING ADDRESS ���* ., :? 49,�+kr,t,, ❑TY-VEK ❑OTHER <br /> 1 G Gar'x / r. <br /> ITY, STATE,ZIP SPECIAL HANDLING PROCEDURES: ' <br />.. <br /> _�fatJ� f <br /> ,ONTACT PERSON <br /> SIGNATURE OF AUTHORIZED AGEN <br /> WASTE TYPEs Y" RECEIVING FACILITY <br />"" ❑ SLUDGE <br /> TREATMENT SOIL ❑' NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br />• ❑ DISPOSAL SOIL ❑ WOOD <br /> CONSTRUCTIO14SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • aENERATINGFACIL.ITY ' Yr (209) 982-4298 PHONE <br /> ('209) 982- 1009 FAX <br /> NAME NOTES',n� . �" a�� .. �. `.;4 ." 7RUCK:NUMBER� .' <br /> 4DID tS <br /> • <br /> CITY STATE ZJP �: :.. 3 fi ;,� r� • Rix,, <br /> FIONE " END'DUIiiIPT_9 N4 MP.' f s s� .,£TRANS R r <br /> SIGNATURE F AUTHORIZED'AGENT OR'DRIGER�� DAT ; """'"'`"' -" <br /> •} _ ~ROLL-OFFS) :F,LAT-BED. _._ sE ,_VAN RU S .' <br /> I <br /> FORWARD INC. LANDFILL ::Ys = z ,, ;. ...�.r,: <br /> Forward shall have no obligation to accept the waste if weather or other <br /> :ki, conditions impair the safe and effective disposal of1the waste or if the waste DISPQSAL':METHOD {TO BE COMPLt=TED BY FORWARD <br /> impairs the safe and effective operation of the Landfll. Forward shall use y a <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSt= B10+�' AERATE STOCKPILE ,','OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on `' <br /> 1 weather or other site conditions, Forward shall notify the Disposer when_si <br /> conditions are expected to change such that Forward will be able tofd6cept ' <br /> the waste, ❑ G <br /> REMARKS }� SLUD E <br /> NON-FRIABLE <br /> =ACILfIY TICKET"NUMBER1 -r�, "'"� ' _ a ❑ ASBESTOS <br /> Wwt ice" yy <br /> SIGt�fATURE.Of AUT]-IORI�E AGENT;� 'tib DATE.: : 'rr <br /> WOOD <br /> % ❑ ASH <br /> ❑ OTHER <br /> ��D11LiNG AUST 3E MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL o ANY UNSCHEDULED LO=,CS ARE <br /> ^rL!%/ERIE -",I..I�.­ <br /> '�I \A�l♦I�CC�T _ y <br /> I <br />