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' 9 o R w NON-HAZARDOUS WASTE MANIFEST <br /> 9999 A R WASTE TREATMENT AND DISPOSAL FACILITY <br /> ` dit f� 9533 ROS ' NCC} r-' -7 <br /> 919 6 R P C) O' 4 r C 7/ Z <br /> ee $2 4198 !�' <br /> Recovery(109)982 9936987 Ippg So�oox 6336 A r D <br /> GF L4Nb��C>;RSCO�RY Faxr(zOf{ '��z09�5 EU 150 RESPIRATOR <br /> EN C❑HARD HAS' <br />' 9)46$`063166'4487 1V <br /> CUg�Mfi4 <br /> Np <br /> ro <br /> L _ ' } raUCK NO 1 <br /> Fav - t <br /> a - <br /> a moa BOX <br /> CASH e <br /> NOT <br /> ����� �' � NC. LANDFILL <br /> sort <br /> � <br /> ,H AUSTIN ROAD <br /> -] ,ALIFORNIA 95336 <br /> rorq�f $ /2-4298 PHONE <br /> 1f l <br /> 982- 1009 FAX <br /> NAME _ ' - :. 7 1111 !` _f - TRUCK NUMBER"' <br /> • CITY;STPrZII - -� T_ <br />' PHONE- _`�" _ �� � «, ;� FOO'DUMFBOTTOM DUMP m- LL- , TRANSFER <br /> SIGN/AT�UREOIF AUTHO-RIZEf7•AD� GEMS OR`DRWE�� DATE�.-„�� µ ROLL-CE (, Y N FLAT-BED -_VAt�E�h ------DRUMS <br />' FORWARD INC. LANDFILL CUSIGYARDS- <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions smparr the safe and effective disposal of the waste or d the waste DISPOSAL MEIN D (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STQCKF'If OTHER <br /> waste for any reason If Forward's refusal to accept the waste is based on <br /> weather or other site conddions,Forward shall notify the Disposer when site IL <br />' conditions are expected to change such that Forward will t)e able to accept <br /> the waste [❑ SLUDGE <br /> REMARKS-A - '71 u . . <br /> _ - _ NON-FRIABLE <br /> _ H — _ _ _ ❑ ASBESTOS <br /> FACILITY TICKET NUMBER. - <br /> �_ _ _ r _ r_ _R. ❑ WOOD <br /> SIGNATU8frpF ALIAT RIZED AGEUt DATE <br /> ❑ ASH <br /> / <br />' 7�C If, �� �! f���, %i�Ily4l/l � 7 ❑ OTHER <br /> 5 <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL + ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST # 2 612 2 <br />