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RD <br /> NON—HAZARDOUS WASTE MANIFEST <br /> FORKAWASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE, NO. � 93 54l4 <br /> - <br />' ERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> r` P1Vc.r,9jde Comet1L Corrll�,,rty 30LOVES ❑GOGGLES ❑RESPIRATOR *ARD HAT <br /> MAILING ADDRESS ❑TY-VEK []OTHER <br /> CITY, STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> Diamond Bar, C A. '11f65 '2—O <br /> PHONE <br /> ('M)ISR3--3660 1 <br /> r, <br /> CONTACT PERSON <br /> Jean F L1 u93/.ri <br /> SIGNATURE-6FAU OR1 r AGENT / IT <br /> DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> DISPOEl CONSTRUCTION <br /> SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br />� ❑ CONSTRUCTION SOiL ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> 7, GENERATING FACILITY (209) 982-4298 PHONE- <br />' I1iver u(k �,)f IIt ( cy)IY)1iy (209) 982- 1009 FAX <br /> ?_,i25 I;. tla^litn rtc)tt t. <br /> ' t rJC'I r CSI I � n <br /> E NOTES TRUCK NUMBER <br /> Jim illUrl)n UPJ , Litt„ <br />#' ADDRESS <br /> I <br /> P.O. Hoy 357 <br /> i, CITY, STATE, ZIP ` <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> (20')) 3r.('-61 1-, ❑ <br /> H SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL,OFF(S) FLAT-BED w VAN ,� DRUMS <br /> ❑ ❑ ❑ ❑ <br /> t FORWARD INC. LANDFILL cuBlc YARDS , a „� �4.,s <br /> i Forward shall have no obligation to accept the waste if weather or other <br /> I conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD - (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use <br /> I reasonable efforts to promptly notify Disposer of Its Inability to accept the DISPOSE BIO AERATE STOCMLE ; OTHER, <br /> waste for any reason If Forwards 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 /> i REMARKS <br /> Ei NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> n ❑ WOOD <br /> r SIGNATURE QF AUTHORIZED AGENT DATE <br /> / <br /> El ASH <br /> ❑ OTHER <br />^r l tr r++II It Ir; pnt 1;F RF PAAPF: I'RIOn I r) c'r) f'rl I I II- I)!1! I rit)" I(J r xi r< {r l) nf'f'IVAI_ ANY U14SCI1E=DULED LOADS ARE <br />' )i" Ir r-1 1(NW-1-1 lgt\l I lrr()f I A111+I)I�I i)r rr f sit l�. 1+1111 ' t)+'1 151 ,;,i ' r ii; I 111 1 Ir W Jl I D 'Vl I I I I HE LANDFILL, TI IFOAV BEFORE <br />{1) n0 1 I x)111 F ( ALL (2-00) 01112 4.1011 7 QV 1 2 <br /> MANIFEST # <br />