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r VKWf� L� NON-HAZARDOUS WASTE MANIFEST <br /> I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. — soosl� <br /> FiEQUf�tED; k <br /> FERSQNAL PROTEGTIVEEQUIPMENTx t <br /> Df~BOER FAF�SLY TRUST Giovs -__..... ._. 5 <br /> MlIIG AbRES r��R �,a k ❑ ❑GOGGLES []RESPIRATOR n' <br /> ARD HAT <br /> .>... ��s_ .ri, tt>� t t,eC kr rrx ❑TY-VEK ❑OTHER <br /> -YP. O. B F�S5 <br /> CIf,STAT711rr yyi� CIAL HANDLING PROCEDURES: <br /> • IiIpQN, CA 05356 <br /> .. �US J�9-6166 <br /> GERRT vArEI�EZT <br /> SIGNA REOF RUi�iORfZ 13 AGE /;�TTTLE,�x,��; DATE ' <br /> REGIWIVING'.FACfLITY0{ 4sa <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GEIVERATINGFAciuY (209) 982-4298 PHONE <br /> 210 W. 5TH ST. <br /> �zpar'l , cg (209) 982- 1009 FAX <br /> UCK,NUMBER <br /> NAME, <br /> RICH I-IA�IILTU1 Tlil1CICTNC NO u..,. ... . . <br /> • 1336 PAULINE AVEL 0 A FJ #3 7 9I- <br /> CITY;'STATE`�IP"`'�,�` ��b��� �.._.f.�-" - , •.-,s ��� � <br /> �100ESTO CA 95353 <br /> ENDDUMi? 5 BOTTOM.DUMP TRANSFER <br /> • ' OSS .778 li oO <br /> SIGNATURE rOF AUTHORISED AGENT'OR DRIVER DATA„ Y ROLL OF ,(S): ,;;f FEAT BEDi r VAN DRUMS.. <br /> El <br /> FORWARD INC. LANDFILL CUBIC <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 if the waste DISP AL METkiOD (TO;BE COMPLETED BY FORWARD} <br /> impairs the safe and effective operation of the Landfill. Forward shall use y 4. <br /> reasonable efforts to promptly notify Disposer of its inability to accept they DISPOSE BIQ AERATE STOCKPILE °pTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on <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 aeeep <br /> the waste ❑ SLUDGE <br /> • REMA fiKS ? ; , err * �� e �., <br /> ❑ NON-FRIABLE <br /> FACILITY ICI<I=T IJiIABEF '�z r )'. ASBESTOS <br /> r ❑ WOOD <br /> SIG TUR rAU7Fd017..!"D Irj�IT, 1 A` DTI= <br /> i ❑ ASH <br /> ' / /! ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO -00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL 0 ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.OJQGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE, <br /> TO SCHEDULE CALL (209) 982-4298 GENERATOR COPY MANIFEST # C 23560 <br />