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(JONON-HAZARDOUS WASTE MANIFEST
<br /> FORWARD
<br /> I NCORI' DRATED WASTE TREATMENT AND DISPOSAL FACILITY
<br /> JOB ACCEPTANCE NO. - �7`) 1 G f
<br /> -G r
<br /> :t�aC.a - ` , tv �,� „•.; E -t ^,, ,,,t r' REQUIRED PERSONAL PROTECTIVE EQUIPMEN7�
<br /> []GLOVES ❑GOGGLES [:]RESPIRATOR ❑HARD H/
<br /> TY-VEK OTHER
<br /> UNG ADbR S •_ r1 � '" "rr< T fir'' K •�? ❑ ❑
<br /> tiL- y �� •�.,�'Y"+ti YnL t �St`�" . P.'�-x/1'•4 '},Y� 1��
<br /> SPECIAL HANDLING PROCEDURES
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<br /> I►C„IVon
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<br /> IGN..6Wj.'O 2LjP'?R3gP,AGENT,/,,T�,TLE•.,_ ; DATIff
<br /> � �7l�r F � • Yip ttr i x�"af"� is r 7 S � ^� ti+..Y • i. 3Y
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<br /> TREATMENT SOIL ❑ NON-FRIABLE
<br /> ASBESTOS FORWARD INC. LANDFILL
<br /> • , ,DISPOSAL SOIL ❑ WOOD
<br /> ❑ CONSTRUC710N SOIL ❑ ASH 9999 SOUTH AU STI N ROAD
<br /> ❑ OTHER
<br /> R MANTECA, CALIFORNIA 95336
<br /> (209) 982-4298 PHONE
<br /> (209) 982- 1009 FAX
<br /> Sv �th1'C'iuL+lfav'i t}J 1Pt r= +S�i.rrJ t E ra vf�. , w d+ ..nL= +i+r'6r = ".+ •! 't .. "R=t�_ fir'^ ;�`S �► ��Yx. ry.. t�"� ..t* ;r4, ,I�OTE�•, Y •+_• TRUCK NVMBEA,%g,�
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<br /> •K�4STAT
<br /> «-,�,�° °`wx; EN UMP,,,,, - BOTT M D
<br /> HON O Ir MPS` r TRANSFER .
<br /> s. u.. itLRs�.is�'•h x r. , . {
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<br /> �siGNATuiD •AusTF�oR� D`AG>=NT OR DRIVER'} DATE ;w ,`�:; ROLL-OFF(S)'_, _-FCAT ,VAN Y T DR Sys
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<br /> FORWARD INC. LANDFILLue�r, rAaQs� ,
<br /> Forward shall have no obligation to accept the waste if weather or other
<br /> condiions Impair the safe and effective disposal of the waste or if the waste AI;Id�E(kIOD: ,:t` (TO BEI 00 PLETED BY F )
<br /> impairs the safe and effective operation of the Landfill Forward shall use f a �� ,,, �, sOFjWARD
<br /> reasonable efforts to promptly notify Disposer of its inability to accept the ;-r , DISPOSE BIO,: AE tA7F KPILE 't
<br /> �. .+ E a
<br /> waste for any reason If Forward's refusal to accept the waste is based on
<br /> 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 /> thhe�wQaste ❑ SLUDGE
<br /> • ❑ NON-FRKBLE
<br /> —. ASBESTOS
<br /> ❑ WOOD
<br /> ISG FRED"A . �+°sx DATE „
<br /> ❑ ASH
<br /> ❑ OTHER
<br /> SCHEDULING MUS"UPON
<br /> PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE
<br /> SUBJECT TO REFU RIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE
<br /> TO SCHEDULE CA2-4298 MANIFEST# 71062
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