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(e�-F <br /> ORWAR@ NON-HARDOUS WASTE MANIFEST <br /> I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> -fJOB ACCEPTANCE N0. <br /> GENERATOR/ REQUIREDvPERSONAL PROTECTIVE EQUIPMENT - r c <br /> ,( r'lA^z MC T5 ❑GLOVES ❑GOGGLES [_-]RESPIRATOR E:]HARD HA <br /> MAILING ADR SS ;` _ -;'�, �� `+x; w.n_ �i (]TY-VEK []OTHER <br /> _ _r � 5 <br /> r <br /> ClTY',�5T ZI ii , SPECIAL HANDLING PROCEDURES <br /> ��. . <br /> GO OT PERSON y .,Lr ^� <br /> SIGMA URE OF�-AUT,HOFfffE aAGENT/TM IF DAT <br /> • WASTE T PEP ' ,;�� � ,=.;�xa tis; , %�n "•. t-fi *, :;max s <br /> ..- �. .z RECEIVWG FAGLITYL` ,A-M�� <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ; ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD - <br /> ❑ CONSTRUCTION SOIL, [3 ASH <br /> 9999 SOUTH AUSTIN'ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY -1 w ,. , Y� = �� �� (209) 982-4298 PHONE <br /> (al UIlL S�? 17 _ 7 l f �y ��F <br /> (209) 982- 1009 FAX <br /> -N_OT_ES IMFUCK,NUMB�ft <br /> flrl rpt /�lL. '7 'r!jf�� 7-47 ! U,/-T ' f <br /> FADDRE55 �w`, ` r•.��,�' , xf z <br /> STATE ZIPf <br /> SHONE _" wL .�' _ _ ,�L END DUMP x --`BOTTOM boy TRANSFER <br /> 7GI�[ATURF AfJTHORIZE3 AGE=NT OR DRIVER; bATE ,µ�� � -ROLA=OFFS), t ". LAT BED ;�VAN _Ay,�DROMS= <br /> El <br /> - <br /> $,+� CUBICrYARDS` <br /> FORWARD INC. LANDFILL ErW �-L <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 DISPOSAL ME HOD (TO BE COMPLETED BY FORWARD <br /> impairs the safe and effective operation of the Landfill Forward shall use _�; _ - s <br /> reasonable efforts to promptly notify Disposer of its inability to accept the - - DISPOSE A_ERATE STOC LE <br /> 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 /> conditions are expected to change such that Forward will be able to accept <br /> the waste _ SLUDGE <br /> • RE-y, K, �:{ S {T, d ,.. ��s.._ ..ti.•Fis�K�4`� `~ '- J7 S"-i.7. <br /> NON-FRIABLE <br /> �ACY�T[GT NUMBER" , ' ='` Y E 2r'N'•" ❑ ASBESTOS <br /> WOOD <br /> 'S GNAT UR 01=AE1T © ED AGEIV r �'r DATE ;M61 <br /> ❑ ASH <br /> N �� ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS AR <br /> SUBJECT TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209) 982-4298 MANIFEST# 68003 <br /> Al�c cnoy __ <br />