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t <br /> I <br /> •, .. ARD NON-HA2"`�RDOUS WASTE MANIFEST <br /> WASTE T' 4/4- MENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. <br /> GENERATOR <br /> ry _ .. ', REOUIR"ED PERSONAL PROTECTIVE"EQUIPMENT <br /> 4 • 3 S a fl'"D ❑ ❑ ❑GLOVES GOGGLES RESPIRATOR <br /> MAILING ADDRESS ❑HARD HAT <br /> ❑TY-1%EK [OTHER <br /> CC <br /> CITY STATEGZIP 31t_._,_L -' SPECIAL HANDLING PROCEDURES: <br /> PHONE --� m - <br /> i 3 <br /> c6N-T*ACT PERSON � r 1 a.S S - D <br /> NAT <br /> FA ORI AGENTY DATE ; <br /> F' <br /> .. .� T. l�za <br /> a x <br /> _- � <• �K�,-, . '` -° 'REC iVl FACILITY, <br /> ❑ SLUDGE <br /> • ❑ TREATMENT SOIL El NON-FRIABLE ASBESTOS !'',FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOL ❑ WOOD ry I <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> •• ❑ OTHER <br /> MANTECA, CALIFORNLA 95336 <br /> GTFAciL� k : �� s -Wu 82-42 <br /> 98 PHONE:,9 <br /> ma raga olds - buzc!c. <br /> $ 50 . Beckman Rd . <br /> 982-1009 FAX -` <br /> Lod? , CA 95340"' P <br /> NAM!; <br /> P� <br /> `�. !�}y ;�x r k.:-^•st-r•�,a -�,.r�xa--c„r�s7?�r,,acf,. ;� .. <br /> . C1TYiSFATE=•Z!I?`"• <br /> 7—{3 ii 'F <br /> C a30..T". <br /> PHONE s - 130�T,OM _ - <br /> 209 992 71113. <br /> StGIJATUFiE OF AUTIiORIZEIF !r OR©RI Elm "DATE . ' "°^ "" ;. ' <br /> .� „,R©LL-�1FF{S): FLE4TBE���VAI�.,;�;;,,,,� <br /> El ' ❑ <br /> FORWARD-INC. LANDFILL g __ <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 <br /> impairs the safe and effective operation of the Landfill: Forward shall use <br /> reasonable efforts to <br /> promptly notify Disposer of its"inability to accept the ^� F-1 <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 ❑ SOIL' <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE TTT <br /> • _ ❑ NON FRIABLE <br /> Fl1CIFTY TICKET IVllliAliER :�; ASBESTOS <br /> ❑ WOOD <br /> SI�IVA UTN( IZE)Z <br /> t - ❑ ASH <br />'` '�. { �i`•s ❑:OTHER <br /> r <br /> : I <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE-DAY PRIOR-TO EXPECTED"ARRIVAL • 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 <br /> MANIFEST# 09-785 <br /> GENERATOR COPY <br /> } <br />