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_-vRWARL* NON-HAZAFO)US WASTE MANIFEST <br /> 1 N C O R P O K A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. -j-) I� <br /> GENF�,�O - • . REQUIRED PERSONAL PROTECTIVE EQUIPMENT .. <br /> /1(2� ;e��.�... E]GLOVES ❑GOGGLESEIRESPIRATOR El HARD HAT <br /> MAI <br /> INP <br /> ADDRESS K jr, ❑TY-VEK ❑OTHER <br /> 2 YY7 o1 end 1 j4e { SPECIAL HANDLING PROCEDURES' <br /> GTY STATE ZIP :'.£ r.n9`.tr - <br /> -W ?v 1 !'CgSVN <br /> IGT n'TUBE OF AUTHORIZED AGENT 1v�?IE ' DATE <br /> • .WASTE TYPE '.r-'- RECEIVING•FACILRTY .. . . <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> C1 CONSTRUCTION SOIL a ASH <br /> OTHER <br /> MANTECA, CALIFORNIA 96336 <br /> GENERATINGFACILITY - .. .;; ; ;,�;;:.:::- .:. ... . :. ..:�.- (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NOTES: TRUCK NU <br /> Mf-f T-P'vA f, 4uv7gb dy <br /> ADDRESS <br /> 0.-7 1 b -rpuct It 1 U Z 13 40 <br /> CITY.STATE,DIP - '/ <br /> O3r0 Mora Ct'1) CA. Sl '.,, END DUMP BOTTOM DUMP- TRANSFER <br /> PHONE m ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR.DRIVER DATE ROLL-OFFS) FLAT-BED VAN - DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL euBIC YARDS <br /> Forward shalt have no obligation to accept the waste if weather or other / <br /> conditions imp.rrr the sale and effective disposal of the waste Or it the waste DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br /> impairs the s.:.e and erfec" oparatdn of the Landfill. Forward shall use S &O AERATE OTHER <br /> reasonable efforts to pranptly notify D�sposef of its inability to accapt the - <br /> weste for any reason. If Forward'& retusal to accePt the waste is based on IL <br /> weather or other site eonddidns,Forward stall rptify the Disposar when site <br /> conditions are expected to charge such that Forward will be able to apdept <br /> the waste. ❑ SLUDGE <br /> REMARKS NON-FRIABLE <br /> ❑ ASBESTUS <br /> FACILITY TICKET <br /> ❑ WOOD <br /> SIG Rr A OFIVED ENT -;' SATE <br /> ❑ ASH <br /> ❑ OTHER <br /> HEOULING MUST BE kVQE PRIOR TO 4:00 P.M. 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)962-4298 MANIFEST 71065 <br /> FORWARD INC (AW <br />