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I <br /> — ON-HAZAq US WASTE MANIFEST <br /> w" R11 WASTE TREATMENT AND DISPOSAL' FAC1UTY <br /> !i3 w <br /> L 11VC. JOB ACCEPT- ANCthO. <br /> GE RA QRr`:;:::�•�:,';< : = �_ , REQUIRED: <br /> P '[]GOGGLES <br /> RSONAL PROTECTIVE EQUIPMENT <br /> ��' �� 'C GLOVES 0 GOGGLES ❑RESPIRATOR HARD HAT <br /> ILING ADDR S5 , t y i ❑TY-VEK ❑OTHER <br /> ,y �j -. �r <br /> T( STATE SPECIAL HANDLING PROCEDURES: <br /> ,a , ,.• <br /> - HONE• ` `„E��`rya. _ •, _ w.._.... ...,�,;_.,,..�_,. ...:ra..�.�: . <br /> ANTAC;T - <br /> .. <br /> ■ SIGNATURE OF AUTHORIZEC14GENT/ TITLE:'`, DATE <br /> WASTL.TYPE � � RECENING,FACILITY� <br />�� .._. .. . i-4•.i'»u.... ..�.f.eJ—..�G.a_a.J. ...�. .t.......?.1.......:M:::ol4w..ri� ..i.l:w a�a.Y–dta.-Y'i......ty P.... ...utit�.e�.L�.G's.�...r�_Jc.u. r......_.-. <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> w ] DISPOSAL SOIL ❑ WOOD <br /> CONSTRUCTION SOIL _0 ASH 9999 SOUTH AUSTIN ROAD <br /> r E OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> 3ENERATING FACILITY ,s., • �-2 (209) 982-4298 PHONE <br /> .(209) 982 . 1009 FAX . <br /> NAME �,(� ��.... k. <br /> .}L L; l .k =&W f .,y'rT ��tjrti e N r Ye a <br /> L + 'SF, t is * QTES < .� Jrw ' + {RUCK{+!UMBER <br /> dlam <br /> ^ITY STATE.”ZIP " �`j` � -t � t` xt:3 res 'T ,'i <br /> ti....� ..,..,,."A' x J,�k`..?�3._.t,.1;L1 rt3,�-87'��.7k-M.�.`�. �r <br /> E3� <br /> EN <br /> HON ' s r - ; , <br /> f:rt°.,fsiY4l:i:l. CDU <br /> a , <br /> �1GIVATURE OF UTHORI ._ 'AGENT.Q DRIVER DATE::-• '" UM <br /> ••. .. /��r w .� "I <br /> ,CUBI <br /> FORWARD INC. LANDFILL C;YARos.:... =:;>� :.� �..�. � �;.;:::. .. _ . ... ' <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 use ;'.DISPOSGAL,VM (TO BE,COMPLETED BY FORWARD) <br /> -r. QCT=1;.� <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ; ;[$POSE ;BIO AERATE ICPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> i. weather or other site conditions,Forward shall notify the Disposer when site ❑ SOIL - <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> RE <br /> MARKS` � i <br /> ❑ NON-FRIABLE <br /> ACIGTY TICKETyNUlv1BER �Fw': *;� tf`" 1� f_ ASBESTOS <br /> ❑ WOOD <br /> SIG1yATURE OF AUTHORIZED <br /> f = ❑ ASH <br /> ❑ OTHER <br /> S HEDULlNG MUST 3E MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL + ANY UNSCHEDULED LOADS ARE <br /> +7n♦I Apnn,11 .I(7.,1a1C ...AFL:' �", CT <br /> - ..=Y . <br />