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W�vvv <br /> r-oRWA�.D NON-HAZARDOUS WASTE MANIFEST r <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. — -7 7 J( <br /> 7"AG <br /> > - REQUIRED PERSONAL PROTECTIVE I_QUIPMENT <br /> t _ +y ,� r_ ❑GLOVES []GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> RESS .J ' :. f +, ' ❑TY-VEK ❑OTHER <br /> OSeMr'�{, SPECW.HANDLING PROCEDURES- <br /> ZIP -j _ <br /> 00 <br /> z �rL.,~ruR�of nerfHOl�¢Eo NLGEI fs,' E• 1DA,rk--,5)_ <br /> WASTE TYPE - 7- RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TFIFATME14T SOIL, ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL COIL9999 SOUTH AUSTIN ROAD <br /> ❑ WOOD <br /> ❑ caNSTRucnonl soil ❑ ASH <br /> ❑ O17HER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY ,�: - (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> Nams TRUCK NU <br /> T-RvGke�R _ TR�r elt�t C�(,fc f7 r � MkT 1ADDRESS <br /> 3t <br /> f <br /> L7oyAy <br /> CITY.STATE,ZIP <br /> Slro c vN 1A. r1q S-11. <br /> PHONE _ END DAMP BOTTOM DUMP TRANSFER <br /> CR ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUMC YARDS <br /> ForwaW Shell have no abicatim to accept the wavts 7 westtw or other <br /> Conditions rmparr the sate and ellective disposal of the waste or it the waoe DISPOSAL MER IC)D (TO BE COMPLETED BY FOHVYARp) <br /> hnparrs the sale and eft-cove operation of this Landau Forward shall use <br /> reasonable eHorts to promptly nullity Disposer of rte inability to accept the FUO AERATE OTHER <br /> waste for " reason N Forward a refusal to accept the waste N based on <br /> weather or other Me conditions,Forward shall notify the Da oxer when site eWIL <br /> coo dions are expected to change such that For*wd will be able to accept <br /> the waste <br /> * REMARKS ❑ SLUDGE <br /> NON-FRl,48LE <br /> FACILITY TICKET - ❑ ASBE=STOS <br /> El vV000 <br /> - <br /> SIGN R OF A tRIZED ENT DATE <br /> ❑ ASM <br /> ❑OtHF-A <br /> CHEDULING MtlST BE k029 PRIOR M 4.()0 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> EJECT TO REFUSAL UPON ARRIVAL..ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SCHEDULE CALL(209)982-4298 MANIFEST * 71065 <br /> FORWARD INC MF Y <br />