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0*1 <br /> FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> °1 N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 736721 <br /> 4 <br /> R <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Farmer Disoc ery Cbevrokt ®GLOVES ❑GOGGLES ❑RESPIRATOR HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> v SPECIAL HANDLING PROCEDURES: <br /> CITY,,SIi tjE;PP., <br /> Attdo*CA <br /> RL <br /> 74 <br /> s v. f <br /> PHONE ' ? ` : <br /> �9'ES)TT8-48D0 <br /> COWMG7 PERSON <br /> SEGt�#A'�URE'OF:"� .,., ORIZED ENT/Xt]'ITLE,w^� DATE "• <br /> _o ,n. ..�. ...«-.w +�.._s-r.<w�?.sw' ��!'�. '�•L w`•.r°', y 1...,. _ ...k. - .w.it.:.'."s.ray.,_ ,.5"...._ <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL i❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ® DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENEFtA710GF,ACtLCCY t � .. G (209) 982-4298 PHONE <br /> 16,5WeA11*&r . TRACY (209} 982- 1009 FAX <br /> NAMES � �„ ''L ,� ����� �: � TRAC �L3C � -�-�".�;:.•.� --„_,'�?R13CK;NCIMBER��:; <br /> IT <br /> ;Id cit B=579 <br /> • s �7,71P� b"`� •'M °x5, 4 _:x TRIAILER'LIGE # k �. , :.. 2 _ _�. <br /> *.�k��t�:""�^*_ts ..z� . .2,7=” _..w . � zr�y-'kwL•• _ .v,.as!�,�«rte�rr-c�-:.ey..,�..•'sma>,.:-c..,�k.Y-.-w. <br /> Byrao,CA 94514 <br /> (5 10)63"M ❑ ❑ <br /> SIG F��IQR D AGENT R i�RIVER DATE ALM DROLL-0F(5) FLAT-BED- VAN„ yDRUMS <br /> 10, <br /> FORWARD INC. LANDFILL cLMIc�YARDS.- <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions;mpair the safe and effective disposal of the waste or if the waste Q!$POSAI-METl ODD�r� <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ � S BIOAIAFW _ _ <br /> waste for any reason. If Forward's refusal to accept the waste is based on SOIL <br /> weather or other site conditions,Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> RIS;"^S'KS a�•. y s +��-°�i'�,�� �;r''� �"° �x:� `. <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY 7iCKET,�IIJMSE�� �•�;,-g „�:� �"' :•- ;� �� - <br /> ❑ WOOD <br /> mNATURf- Q UTH0BVE <br /> - ; <br /> — ❑ ASH <br /> AA1*t / ❑ OTHER <br /> 1 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 /> Too�SCHEDU 9LE CALL (209)982-4298 SALES COPY MANIFEST # C <br /> 6 1) <br />