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87 FURVlA a 1K.. + UU[, uu <br /> NON-HAL DOUS WASTE MANIFEST <br /> VOSTE TREATMENT AND DISPOSAL FACILITY <br /> CEPNCE NO. ,- - " . . . ,. ;;'. <br /> TA <br /> REQUIRED PERSONAL:.PIROTECTIVE EQUIPMENT <br /> k . <br /> _.:.._ ._..., GLOVES GOGGLES 0RESPIRATOR []HARD HAT <br /> _ ❑TY VEK ❑OTHEA <br /> SPECIAL HANDLING PROCEDURES: <br /> _SIGNA-_ . E: F A RIzED.AGENT'P DATE <br /> WASTE TYPE <br /> . ..... ...... . ..... RECEMNG FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> MANTECA, CALIFORNIA 95336 <br /> G_ENERATING FACILITY <br /> iZ. Gert-�-c+ L�3 �.r�„ . ,. <br /> (209) 982-4298 PHONE <br /> V. <br /> (209) 982-1009 FAX <br /> NAME <br /> . .. ... _., ........... NOTES _... ... . . , .TRUCK NUMBER <br /> ADDRESS.'' ; <br /> •-.-.�_.,--•. <br /> PHONE ,•.... .—�._—.--...... _. <br /> END DUMP, , BOTTOM DUMP TRANSFER, . <br /> SIGNATURE OF AUTHORIZED AGENF OR "' VAN DRUMS -. <br /> D1iM+R DATE R011-0FF(S) „ _ <br /> FLAT-BED <br /> FORWARD INC. LANDFILL cue�c�raRDs -- - <br /> Forward shall have no obligation to accept the wNb V weather or other <br /> conditionsthe <br /> impair the sate and eoDerati disooah of r, ware or If the waste DISPOSAL METE 00. °� {TO-BE COMPLETEDB'(FORViWRD) <br /> impairs the sate and effective otxntion of the L.andI1M, Fayed a}taU u<e <br /> wasefor efforts to Promptly notify refuOWDsal <br /> r of f4Inadllly to accept the _.,_::.... ._ DISPOSE .BIO•.• AERATE: , .:._ _ ;.OTHER,'.. <br /> waste for any reason. H Forward's refusal tc j "ty* tea wMa Is basad on <br /> weather or other site cenditicnc,Forward shall nody Uta Otapoaar when site SOIL <br /> conditions• conditions are eVected to charge such that <br /> the waste. <br /> ForMrany be ableto accept <br /> • REMARKS_� _ '" [] SLUDGE <br /> F4CIL�Il TIC.I�T•NUMBER rL - - ❑ SLE <br /> Ai R <br /> SBE S <br /> =. ❑ WOOD <br /> S(GNATURE.OF AUTHCRPFD,AGENT <br /> ......___._._..... <br /> -- _ -'— ❑ ASH <br /> 7�C <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 pjM THE DAY PRIOR TO EXPECTED ARRIVAL a 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 1 ••• C1 <br /> fl 0 <br /> , -g <br />