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FORWARD NON-HA&RDOUS WASTE MANIFEST
<br /> moo, I N C O R P O R A T E D WASTE T ATMENT AND DISPOSAL FACILITY
<br /> J013 ACCEPTANCE N0. - �� 1 G l
<br /> • ,GENERgTOR + s L a 3= ` ti ; .REQUIRED PERSONAL"PROTECTIVE EQUIPMENT
<br /> FYtf�I`�l� GLOVES ]GOGGLES ❑RESPIRATOR ❑HARD HAI
<br /> MAILING;ADDDESSry , b Y ` ', ' ` ' ' ❑TY-VEK ❑OTHER
<br /> 'CIT,YfS,T_A��E�ZIP z' y ;" R "• SPECIAL HANDLING PROCEDURES:
<br /> Eh ./
<br /> �S,IGNQIUREOI�TH9 �,D:AGENT/.;TITLE' : DATE °f 'r
<br /> tai` M.-4.s,:• yr z a .,, .._.
<br /> sfiXk '..1: ,•a?<. : ,::,T..'� ECEIYING,FACILITY;:,.��:
<br /> ❑ SLUDGE
<br /> TREATMENTSOIL > ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL
<br /> • DISPOSAL SOIL ❑ WOOD
<br /> []'CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD
<br /> ❑ OTHER MANTECA, CALIFORNIA 95336
<br /> (21D9)/982-4298 PHONE
<br /> (209)982= 1009 FAX
<br /> 3CiC l y 7lLJ . / ��K:N28ER
<br /> 'F;7
<br /> � )�7 �Jo
<br /> ..... .,r.. V ' '2_3
<br /> .LCITY TATEF'rZlPy
<br /> rPHONFz , BOTTOM DUMP. _'j!-,.,.,..TRANSFER'>';
<br /> FSIGNATUfi )Of FtU,TFJORIZ D AGENT,OR DRIVER�}i DATE ROLL OFFS)F, FLAT=BED VAN „DRUMS;.; •;..
<br /> _ .. ..a
<br /> ❑ ❑ ❑ ❑
<br /> FORWARD"1NQ LANDFILL
<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 wasteOXSAL,METHOD r i (TO BE OOMPLETED BY,FOFjWARD)
<br /> r
<br /> impairs the safe and effective operationofthe Landfill. Forwardshall use, '�
<br /> '
<br /> reasonableeffortsto promptly.notify Disposer of its inabilityto accept the - +'. ,�,g;•DISPOSE BIOS AERATE KPILE O�7HE 11
<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 [I SOIL -
<br /> conditions are expected to change such that will be able to accept
<br /> the waste. ❑ SLUDGE
<br /> , ` �t'E Q, ,.: `. ��'•..�"tx.o a�-w;7—��➢^x..^F n'., M +cc'i�" ,Ci.
<br /> �C:L� .'!-,� 7i,.' � T'-.-•y.';lr-..ter l�v[,.
<br /> ➢'l J: �.x.Aj.9�y6�9•. ar2Y.'te:.r,. .t..x:..• '.t. ..,.wNrrr! ❑ NON-FRIABLE
<br /> t '�J(,•���,�T'�;���r,�{� 54.c•. L�w'?f.•-S,. �y .r,..�. ..rr'�+.',. ASBESTOS
<br /> • ACI U.r
<br /> vy _ E:1 WOOD
<br /> ;SIG FjEfp _. I�IZED`,A NT' ' r ; DATE,
<br /> ,. ❑ ASH
<br /> ❑ OTHER
<br /> SCHEDULING MUSt BE MADL�PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE
<br /> SUBJECT TO REFU AL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE.
<br /> TO SCHEDULE CAL 209 2-4298
<br /> MANIFEST # 71062
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