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WA RD NON-HAZARDOUS WASTE MANIFEST <br /> Fn Vm WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. [ 9.3 --- -3 e/-- --- <br /> GENERATOI��', REQUIRED FERSONAUPROTEG_TIVI;:E!}UIFIN9,611 <br /> ❑GLOVES ❑GOGGLES ❑RESPIRATC HARD HAT <br /> MAILING ADDRESS <br /> 3 ' f t �'�;4L ? `__{a�3 =` ❑TY-VEK ❑OTHER <br /> Z_Z_ <br /> CITYSTATE —j; 1�`;�: '-'' ` SPECIAL HANDLING PROCEDURES <br /> , , p <br /> PHONE 'T' 4jil <br /> r� C T P RSONc;, <br /> I, r C fLLp I HOIC p�—� 2� <br /> SIGNATUR THORIZED ENV/T1TLE TE , d <br /> .: .� -5) 7 <br /> t1 WAST--?TYPE--. 777 <br /> RECEIVING FACILITY <br /> •r <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> h <br /> DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATINGF CILITY : (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME `7 NOTES 4� r`F k 'L`�w ; ;ah; TRUGK�fUM$E ' <br /> ADD�ESS x ' <br /> Cr 4Y, ]5VE,2iFf <br /> : ,END DUMP}, t ; BO7TOM DUMP °"r TRANSI=tiER; <br /> R � <br /> . a y k&S�,.❑ a <br /> SIGNATUR AUTHORIZ D AGENT OR DRIVER DATEROLL-OFFS) <br /> El El El <br /> - 4 <br /> FORWARD INC. LANDFILL cuBlc YARDS -M OTZ <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 rf the waste <br /> P DISPOSAL METH D '�Y�(TO BE,COMPLETEDSY�RORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use >, .= J � r Y <br /> n reasonable efforts to promptly notify Disposer of its inability to accept the Y ; < 4"`i DISPDSE ;=BIOS # AERATE ST�G'IiPll�� !fER` I <br /> P P Y Y Po Y P r M r ..�a R#_TE <br /> i <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> tT 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 <br /> A' ° nTN"' ,nsecTn, "arra <br /> Tf REMARKS a+3Ftx, vtf � ��rn�r f est x�­v.4 Gl�i,,n° ��� � `S' <br /> NON-FRIABLE <br /> FACILITY,TICKED NUMBER "x'`��h 'r"7� -7-,- "moi`, '' "' ` ' ❑ ASBESTOS <br /> _ ❑ WOOD <br /> � SIGNAI;URE=OFF AU7HOFtI2ED i�►GEI�T�- ��;s��,���',�� bATE`Y�f�}�w l� p� <br /> ! ❑ ASH <br /> ! _ 1 r <br /> 4 l' r c `: - I f �I [] OTHER <br /> < ' IIFf)ttl fN[, Mllv,r 13F- MAnE rf'IC)fl Tr) 4 Cin 11RI Tiff= DAY 11110rT TO ryl"F( 1170 ARr.IVA1 • ANY UNSCHEDULED LOADS ARE <br /> i=r, it r I Tf) RFf II Af_ I lI'flfl nf't',I�'nl f�f!( S1If1' i)ht!'! rN-I wr mr; MI Iq f 131- -f III-Dill FU WITIi THE LANDr-ILL -THE DAY BEFORL <br /> 10 FGIIr MILE CALL (209) 982-1998 MANIFEST # 5083 <br /> rflAfi4f'Onno G()PY <br />