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FE Ow WA RD NON-HAZARDOUS WASTE MANIFEST <br /> v WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. �` — �' ry _ ' <br /> ENERATO-Arot\) <br /> �gviw�w ,. <br /> ti REQUiRED.P,ERSO P<�- T9C I,IIF' <br /> 1 I J U S []GLOVES ❑GOGGLES s❑RESPIRATOR ❑HARD HAT .- <br /> MOMM <br /> ` `F .! "rt't"T�p,�`71 H'hv"K f i�e1 T r"��Y n 4 �a'Y'ryRn <br /> MAILING ADO.RJESS 'wt ,� ,.'r, '"v�s� i9 - ,' ut�,11�di':°', ❑TYVEK ❑OTHER <br /> '� . 7, <br /> - <br /> dltv'nfTAT;�fp{ " x.xt,, , n ' -A. , - SPECIAL HANDLING PROCEDURES <br /> PHONE t"� y <br /> Ci�1 "It-, w 3{5 <br /> za Tr <br /> rrFT <br /> rj • PE •! - A XtMK "�r r IIrvi a1��srM1. �' _ <br /> $IGN RE OF <br /> F O GEI�F7 / <br /> � r r <br /> WASTE T t.� s � ` r, ' ",� <br /> i <br /> ❑ EATMEN SOIL ❑ SLUDGE <br /> ❑ DISPOSAL 501E N ONp-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> El CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FA,CIL TYr. T�"d �i a{ xo� :�: �V� (209) 982-4298 PHONE <br /> r (209) 982- 1009 FAX <br /> NAME <br /> ADDRE ��`/4^/ t �.rr r i--S7'�s ?. y ^ ' n (/ray}. 3 ././-/y <br /> r ��; 1 1 �,� l.�n/'f �"r1 � �� a �'`tl�3k�r$fi� k �-/ <br /> �• CdT,,§*TCr 7JIj'', "k'M�i^ i � i-^t'i C' �K}mx,. wt�S•r <br /> PHONE' 7A,'4t x r � ��sT "` IrND DUMP , w8 O„� ' <br /> siGNAfURE b AUfHdplZfMAGENr 6WbhI\&ffF,' Ate`'WO <br /> Jr <br /> 7�C / ` � -` �-fes /� � ❑ � ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL Ecus ;;Y s(f <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 it the waste <br /> biSPOSA' IO <br /> * <br /> Impairs the safe and effective operation of the Landfill Forward shall use �, , <br /> ii reasonable efforts to promptly notify Disposer of Its inability to accept the , {hL D� 1 <br /> waste for any reason If Forward's refusal to accept the waste is based on <br /> R 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 /> • RE ❑ SLUDGE <br /> �AGiLI <br /> ❑ NASSLABLE <br /> SEWo <br /> E] WOOD <br /> Wa• d <br /> ❑ ASH <br /> ❑ OTHER <br /> SCI IEQULING MUST BE MADE Pnion TO 4 00 P M TFIE DAY PRIOR TO EXPECTED ARRIVAL s ANY UNSCHEDULED L�Vl <br /> SUf;IFC1 TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DATU SCHEDULE CALL(209)982-x298 <br /> MANIFEST# 650 <br /> TnANSPORTER COPY ti <br />