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JRWARD <br /> NON-HAZARDOUS WASTE MANIFEST <br /> N' [ O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 9, <br /> �NERATOR „„ r - IEQUIREQ-eERSONA6 PROTECTIVE EQUIPMENT <br /> GLOVES ❑GOGGLES [—]RESPIRATOR HARD HAT a <br /> MAILING ApbE SeeTY-VEK ❑OTHER <br /> IPA <br /> PHONE <br /> -•; �- �-- - ir° SPECIAL HANDLING PROCEDURES <br /> IT <br /> CIq■.��2IPti, <br /> - PHO �+ <br /> NE .-ten-'- }��tT �i� f+C�'d <br /> CONTACT PERSON!!" <br /> SIGNATURA_ F AUTI IpRIED AGENT Ir -� DATE �F <br /> r � <br /> WASTE TYPE _ ':rY r , z� ,z "� y t,k,;�r RECEIVING FACILITY-,,u <br /> ❑ SLUDGE <br /> ■ ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ wool) 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ,■ ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATINGFACILITY- _ ` ' riot. (209) 982-4298 PHONE <br /> i- _Lk, (209) 982- 1009 FAX <br /> r <br /> TRUCK NUMBERNAME'-' S ~S <br /> t�n4wc7Gr8 rr <br /> f <br /> . CITY TATE,7JP nF <br /> rJw �c^w-"`° L $ '. l" ras, :c Mtri �+ <br /> PHONE:% = , F „ ;y EN UMis ,a x�BOTTOM©UMP TRANSFER <br /> }yam <br /> SIGNATLiR O{-"'AUTHO I;D AGENT,OR DRIVER- DATES 77 RO IA�OF .-----VAN DRUMS <br /> FORWARD INC. LANDFILL cuB,c�YARns_ <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 of the waste DISPOSAL,MET}IOD,' P (TO BE COMPLETED BY FORWARD) <br /> impairs e safe and effective operation <br /> reasonab eeffo is to promptly not fy Disposer�ofL tsdinability' or accept thew %" "4 w5�' <br /> r�t�' � DISPOSE ' $10-1 AERATE STOCKPU OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on SOIL <br /> weather or other site conditions Forward shall notify the Disposer when site <br /> ■ condit+ons are expected to change such that Forward will be able to accept <br /> the waste _ ❑ SLUDGE <br /> REMARKS -�_r ._ ��w M�_ - -_r r- "�"�' �.�-,,Ty�,s <br /> ■ - Y` r m Jr4�_. - NON-FRIABLE <br /> mow. ❑ ASBESTOS <br /> FACILITY;1"IL?i�E3,+�I MBEI� ,» � «F . . �d', .t,Y 7 ,�,t74 <br /> ❑ WOOD <br /> SIGNAI1JFt O�ORIZED ADEN <br /> ❑ ASH <br /> / '� `�,��� t - �. ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209) 962-4298 MANIFEST # 79667 <br /> **AM lO4rY <br />