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WARD si NON-HAZARDOUS WASTE MANIFEST <br /> I-NORWASTE TREATMENT ND DISPOSAL FACILITY <br /> I111Cf JOB ACCEPTANCE NO. <br /> trNERAT34' ss <br /> gpt�t ^ �° � � � 5 ,r.�:� a . �,' Teti a�z REQUIRED PERSONAL.,PROTEC'IVEtEOUIPMENT*,-' 3 1� <br /> ❑GLOVES ❑GOGGLES ❑RESPIRATOR NHARDHAT <br /> ILING A ; S '�� "� <br /> _ ❑TY-VEK ❑OTHER <br /> CITY,SATE,ZAP`_�- ,' ' "�"„ i' mrp,p, SPECIAL HANDLING PROCEDURES <br /> PHONE Y I <br /> rr CONT q'r FfRSON <br /> SaiTUREUTHO E ENT / TI j1DITE <br /> S /17 <br /> fi WASTE TYPE k, _ RECEIVING FACILITY,4 <br /> FF <br /> ❑ SLUDGE <br /> TREATMENT SOIL [] NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> a <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATINg FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> AME <br /> NOTEStyrTRUCKNER+ '_`� <br /> `J <br /> o cc 5rt �- <br /> ADDRESS <br /> CITY, S ATE, P <br /> O ' F ei a s-n5 3t , <br /> P ONE END DUMP r. s <br /> 1 y BOTTOM �"A <br /> �U � ) 3� � -G17S - <br /> SI NATURE F AUTHORED AGENT OR DRIVER - DATE `r ROLL-OFF(S) ' FLIM BEp,�'_ a'"�IAN r pRUMS; <br /> ❑ ❑ � ❑ <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL <br /> 1 Forward shall have no obligation to accept the waste if weather or other 1� 1 <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD" ATO BE COMPLETED BY.,FORWARD <br /> impairs the safe and effective operation of the Landfill Forward shall use , _ �a D , <br /> tt reasonable efforts to promptly notify Disposer of its inability to accept the W DISPOSE= ;BIOsAERATE STOCICP4E aiIE�1 `' <br /> waste for any reason If f=orwards refusal to accept the waste is based on <br /> rl weather or other site conditions Forward shall notify the Disposer when site © SOIL 1,/'conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ <br /> �� SLUDGE <br /> It REMARKS~� , • •t�k � A,�$dr �i <br /> ❑ NON-FRIABLE <br /> FACILITY TICKETy, ..fe. ASBESTOS <br /> e- <br /> � J <br /> - ,Jtit, `� El WOOD <br /> SIGNATURE OF AUTHOFi1Zi<b AGEIV7 '. ,� r:k��,' DATE` <br /> ❑ ASH <br /> ❑ OTHER <br /> ,r lrIrli! ING MUST BE MADE 1'Rlt)I1 70 4 Of) Inq 11IE= DAY 11I11()it 7q FXPEC-Ir f) ARRIVAL • ANY UNSCF{EDULED LOADS ARE <br /> �i lr irf i r(-) REr t)t;A_ I If1UN ARnIVAl OrK7011`10,DAlt Y i)FL IV1=I1I1713 Mll'-1 rit- F( I ll-DUL F-D WITH TFfE LANDrILL THE DAY BEFORE <br /> if) tl"lIFOULF- CALL (209) 9F32-42R8 <br /> MANIFEST # 087 <br /> 7nAWWOR 11 n COPY <br />