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RD NON-HAZARDOUS WASTE MANIFEST <br /> FORWAWASTE TREATMENT AND DISPOSAL FACILITY <br /> o� <br /> INC. JOB ACCRA!'fANCE NO. 93 -~- 414 <br /> NERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT " <br /> A Riverside LanenL (..olltpat ty ❑GLOVES ❑GOGGLES [:]RESPIRATOR ©HARD HAT <br /> }; MAILING ADDRESS ❑TY-VEK [:]OTHER <br /> y P.O. LOX 4904 SPECIAL HANDLING PROCEDURES <br /> CITY, STATE, ZIP <br /> Diamond Liar. LA 91 (65 C.20 <br /> -4 PHONE <br /> rr CONTACT PERSONU� <br /> T' Joan F"I.II us7a ' <br /> SIGNATURE QF AUTH 14ED NT / 1 ATE <br /> .1 WASTE TYPE RECEIVING FACILITY <br /> -'r ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> �4 ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> ^ri <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> lliver g-Ld(� Cr-'meat Gorlp;�:Lfty (209} 982- 1009 FAX <br /> "T. `rl ��:Tlrlrft011 )G. <br /> ME NOTES TRUCK NUMBER <br /> J1 I Iltorpe Oil, I11C. 2-2121_ ADDRESS <br /> P.Q. R()x 357 Lo <br /> A; CITY,STATE, ZIP <br /> EOc11, CA. 95241-037 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ' n <br /> r SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ErAlEl El <br /> —y ❑ ❑ <br /> _ I <br /> FORWARD INC. LANDFILL CUBIC YARDS - W <br /> Forward shall have no obligation to accept the waste it weather or other {{ <br /> 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 /> fr reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE= .BIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on ❑ <br /> �r 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 /> Is REMARKS <br /> NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> � ❑ WOOD <br /> i51GNATUYE�OF AUTHORIZED AGE T DATE <br /> ❑ ASH <br /> ' ❑ OTHER <br /> + IIf I+l+l If 11; h11Jc1 Tar nRAur I'M(11) 1t) /t f+fl I M11 IIIF 0A I I'll 11", T() FXPFf rr IT AtMIVAI ANY UNSCIIEDULED LOADS ARE <br /> s if, it+ I I() r'r_f LI-Al lift IN APHIVAI O tr ( lIrtf, f 1\11 Y f1Fl 1Vr t'Ir-r, r1l I-I rv� r=( 11r of If FI) VVI II I TI IF LANDFILL THE DAY BEFORE <br /> lf) "af I If PI It r CAH (209) a82-4205 MANIFEST # 7873 <br /> TrtrlTl tr �� � rntf <br />