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WARD NON-HAZARDOUS WASTE MANIFEST <br /> ` ' WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC` JOB ACCEPTANCE NO. q 3 — (-> <br /> NERATOR It } ,x= ti 3> � ti=Er, -a REQUIRED PERSONAL PROTECTIVE EQUIPMENT# 14140,# y!`� <br /> &( f 3 'L,tJ� ❑GLOVES [:]GOGGLES ❑RESPIRATOR E]HARD HAT <br /> MAI-LIUNG A R ❑TY-VEK [:]OTHER <br /> CITY STA E ZIP SPECIAL HANDLING PROCEDURES <br /> A � f� G '�; ✓UN LC w <br /> PHONE m <br /> r: CONTACT PE <br /> SON <br /> SIGNATU,R� FAU Eta AN{/ I ani DATE/a <br /> WA YPE RECEIVING FACILITY,,' k ^� "i-l", h <br /> ❑ SLUDGE <br /> © TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL ' <br /> Q DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> �• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> a <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NOTES - <br /> - ADDRESS <br /> CITY,STATE,ZIP' �7-- f' <br /> i J / <br /> ,t r, _ x- <br /> i PHONE <br /> SIGNATUR OF AUTHORIZED AGENT OR DRIVER DATES;K'"r �; El -`�"�"", FLA <br /> y _ � ROLL-0FF(S) <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuBlc YARDSA, <br /> '�° <br /> Forward shall have no obligation to accept the waste if weather or other <br /> ;f conditions impair the safe and effective disposal of the waste or if the waste x, f <br /> DISPOSAL METHOD. {TOB <COMPLETED�BY FO iWARD)` <br /> tt Impair the safe a o effective operation of the Landfill Forward shall use , �y fr � �> �°p �_ >�� �,u� E, :; t �,�;r.�r,� <br /> promptly nobly Disposer of its inability to accept the r„ � r ti DIS_'SE Bf6 AER,,,ATR, 9T C PINE, p�,NL@ <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> Ii 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 ry s ❑ SLUDGE <br /> REMARKS -- <br /> � SPY <br /> ❑ NON-FRIABLE <br /> FACILITY TICKI= .NUMBE R".' _ 4 _', �„,' �„i ASBESTOS <br /> ,� -,'^�i„ �w� � M�,3 . �F� .4� 'e, <br /> �4 rT <br /> El WOOD ' <br /> SIGN�TURE DF AUTH0 71ZED�AGLN1 s Yi i"�' SATE �+ ;,`- <br /> ❑ ASH <br /> * 3 t I ❑ OTHER <br /> �( I IF01.11 ING MUST BE MME Pn1011 TO 4 QU P M I IIF VAY I f ion 10 EXPE'C IED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SF In IF( f ro nEFUSAL tirON Anna% t_ Or IGOING DAlt Y DF_LIVE""RII MUST I3E SCI IFUt11_ED WITI I TI IE LANDFILL THE DAY BEFORE <br /> TO RG111711)ULE CALL (209) 982-42CIO 5088 <br /> MANIFEST # <br /> TFI MSPOnTEn copy <br />