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WARD NON-HAZARDOUS WASTeMANIFESt
<br /> WASTE TREATMENT AND DISPOSAL FACILITY
<br /> INCL o JOB ACCEPTANCE NO.
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<br /> EoRATO( , / ,c•u
<br /> REQUIRED PERSONAL PROTECTIVE EQUIPMEN7f�F +WX h"'O,
<br /> K / [:]GLOVES ❑GOGGLES ❑RESPIRATOR [R' ARD HAT
<br /> 2 2—MAI ING ADDRESS �' O TY-VEK [:]OTHER
<br /> CITY, STATE, IP SPECIAL HANDLING PROCEDURES
<br /> PHONE f Cl��"
<br /> (--'2 51'(::� ) 5`7�-7 s y
<br /> rr C CT PARSONS' ' rzs t r; ;h ,r" y
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<br /> S1 ATU F UTHORfZED PTI DATA
<br /> WASTE TYPE
<br /> n �_ � s-°,'�., 7 „�t~ . , ,x,,.r� RECEIVING FACILITY,,
<br /> ❑ SLUDGE
<br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL
<br /> DISPOSAL SOIL ❑ WOOD
<br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD
<br /> ❑ OTHER MANTECA, CALIFORNIA 95336
<br /> GE1�N-ELR4AT�INGF CCILITY 'J"� a, I .-is �
<br /> - 1 (209) 982-4298 PHONE
<br /> e
<br /> ujrs
<br /> (209) 982- 1009 FAX
<br /> AME
<br /> .,
<br /> w NOTES - "'94=-TRUCKNUMBER , .
<br /> 'a" 'k�unit �A. ,
<br /> '
<br /> ADDRESS
<br /> CITY,STATE,'ZIP
<br /> w r PHONE � z�,°w� - � '' �',�"'" � ,,. - .- ,; .��.
<br /> ,s ,Z t1* x "r:.F *END DUMP, ` " �BOTTOM DUM_P�o` TRANSFER�t
<br /> - SIGNATURE OE AOTHORIZED AGENT OR bRIVER DATE;,, ,<t- ROLL OF, ,,Y=_,,FLAT
<br /> -1� 3 ❑ ❑ ❑
<br /> FORWARD INC. LANDFILL CUBIC YARDS ; =>> =, U
<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 DISPOSAL METHO E' ?",618v`
<br /> p _ aL "(TO,B91, -PL IED=BY,FOrRWARD
<br /> rT reasonable efforts to promptly notify Disposer of its inabilityto accept the r; 'b �^ r 'J' D15PO E 1�.°'
<br /> p " kl fjA KP_ , C)Tli i n
<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
<br /> T REMARKS �"" 1"'l` "'�` =r�, ,��r -�� „moi m� E:] SLUDGE
<br /> ❑ NON-FRIABLE r
<br /> FACILITY,TICI�ET NUMBER M x- �l - x ASBESTOS
<br /> s 51GNATQRE OF AUTHC)RIZEI]AGENT_,,"','1' DATE„ :,;,yP ❑ WOOD
<br /> ' ❑ ASH
<br /> ' { I -- ❑ OTHER
<br /> St'I IF DUI ING MUST BE MADE PRIOR 70 R QQ P M TI IE DAY PRI on 10 EXFIE CTFD ARRIVAL w ANY UNSCHEDULED LOADS ARr
<br /> St in if-CI TO REFUSAL UPON ARRIVAL. cJrJGOINC DAILY DELIVF-RIES MUST Rr SCHEDULED WITH THE LANDFILL THE DAY BEF('
<br /> TO SC,IfEDULE CALL (209) 982-4298
<br /> MANIFEST 508r'
<br /> 1RANSVoRrFft Copy
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