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F&R�/� �D NON-HAZA ')OUS WASTE MANIFEST <br /> /`i WASTE TREAV AIENT AND DISPOSAL FACILITY <br /> INE. JOB ACCEPTANCE NO. wr — J 3 <br /> GENETO /� ,,/ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> C0 N I rr�N, � ❑GLOVES ❑GOGGLES E]RESPIRATOR E]HARD HAT <br /> MAILING RESS / _ ❑TY-VEK ]OTHER <br /> CITY, STATE, ZIP SPECIAL HANDLING PROCEDURES: <br /> .COp <br /> PHONE <br /> F6 <br /> CONTACT PERSON <br /> jafyltis (_o%nPtL <br /> SIGNATUREOF UTHO ED A tyT I E TE' <br /> W E TYPE - RECEIVING FACILITY <br /> ❑ SLUDGE <br /> �ylltEATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • (F 1j DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL F1 ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 915336 <br /> EgAnNACILnY - (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NOTES TRUCK NUMBER <br /> 7 <br /> ADDRESS r, / ) <br /> f <br /> • CITY,STATE,ZIP <br /> C JY o ! hr ara20 <br /> PHONE END DUMP BOTTOM DUMP TP 1NSFER- <br /> �_c� ya o� ❑ ❑ 9 <br /> SIGNATURE OF AUTHORIZED GENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN L'RUMS - <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuRlc YARDS <br /> Forward shall have no obligation to accept the waste if 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 /> reasonable efforts to promptly.notify Disposer of its inability to accept the _ DISPOSE BIO :AERATE' STOCKPIL:Q1,, OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based onj <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 /> • <br /> the waste ❑ SLUDGE <br /> '. ❑ NON-FROSLE <br /> ASBEST`FA ' ,7"I .. ._.E ❑ WOOD <br /> SIG.NAT000OF At),THOOIZED AGENT DATE <br /> i ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR To 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED !..OADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE D\Y BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 6 C A 2 <br /> MANIFEST # J 'i <br />