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�A�� NON-HAZ, tDOUS WASTE MANIFEST WASTE TREATMENT AND DISPOSAL FACILITY JN'7' JOB ACCEPTANCE NO. At�f(�'/Ayb R QUIRED PERSONAL S �- GLOVES ❑GOGGLES ❑RESPIRATOR WARD HAT a uS FESS�( /;J - ❑TY-VEK [-]OTHER G '�� ` O; SPECIAL HANDLING PROCEDURES: P � csq4 / //( I THORIZED M� NT TLE DTE • WASTE TYPE f RECEIVING FACILITY,040 ❑ SLUDGE ❑ JREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL • DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD F1 CONSTRUCTION SOIL ❑ ASH ASH ❑ OTHER MANTECA, CALIFORNIA 95336 ATi .Ya K ljG (209) 982-4098 PHONE ldo o �i i`�'/ -4 (209) 982-y0W_`� X 4 NAME E . NOTES: 4 Vag 5mq a 'l ?9(T .K ACibmt9A 4140 E ; l�t41ee. ed . CITY, STATE, Zlp Ar-ft mf1O ICA, ge3�o.f PHONE () d (0-ICR) END DUMP BOTTOMD E] ❑ 0. PIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED �1 -18 94 ❑ ❑ ❑ ❑ FORWARD INC. LANDFILL CUBIC YARDS Forward shall have no obligation to accept the waste if weather or other conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COME: impairs the safe and effective operation of the Landfill. Forward shall use reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE�8TOOIIRLI�s;OTHE_,, waste for any reason. If Forward's refusal to accept the waste is based on weather or other site conditions, Forward shall notify the Disposer when site ❑ SOIL conditions are expected to change such that Forward will be able to accept • the waste. ❑ SLUDGE ` AFMARKB , ❑ NON-FRIABLE hAdUtY TICKET NUMBER ASBESTOS El WOOD SIGNATURE OF: AUTHORIZED ANENT DATE [I ASH *' h -0A ❑ OTHER SCHEDULING MUST BE MADF PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. TO SCHEDULE CALL (209),982-4298 20813 MANIFEST * GFNERATOR COPY