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(&+0RWAW NON-HORDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> SOB ACCEPTANCE NO. -- 3-i - <br /> GENERATOR . :; REQQ1 EQ PEF;SONAL PROTECTIVE EQUIPMENT <br /> J ,1C , bv1�I 1�� J _ ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HA <br /> MA ING ADDREU " '` x' ❑TY-VEK E]OTHER <br /> C{ ST TE, ZIP f��S "L SPECIAL HANDLING PROCEDURES <br /> ` _ <br /> PH <br /> CONTAC PkR_ <br /> SIGNATURE OF AUTHORIZ D,AGENT /TITLE Y DATIf <br /> 241 1 <br /> WASTE TYPE Ri=CENING FACILITY{ <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • Y <br /> GENERATING F/JCILITY _ (209),982-4298 PHONE <br /> lJi L' `lLp J) s <br /> -=a . ��t-_•f,,, yn,— _ (209)\982- 1009 FAX <br /> all <br /> Lr%{'��„"Fi • � r .i¢L �`tlh stY' '_�7"" � 'r1y= x.�� UGK IVUMBER <br /> �.si <br /> i� <br /> ADDRESS <br /> 7 <br /> . iS IP'cn STATZ <br /> Z I <br /> PHONE S /1 �i� END DUMP BOTTOM DUMP TRANSFER <br /> El <br /> Sl�NATUIIE O� HORI ED AGENT OR^DREV R, DATE ; , � _ R LL"-OFF(S) _�� _FLAT-BE=D _ VAN_ -r DRUMS <br /> El <br /> CUBIC,-Y,YARDS �` <br /> FORWARD INC. LANDFILL f �; w <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 METHOD (TO BE COMPLETED BY FORWARI <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 theDISPOSE BIO AERATE STOCKPILE OTHEF <br /> waste for any reason If Forwards refusal to accept the waste is based on SOIL <br /> ` <br /> weather or other site conditions Forward shall notify the Disposer when site <br /> conditions are expected to change kuch that Forward will be able to accept <br /> the waste _ ❑ SLUDGE <br /> N <br /> ❑NON-FRIABLE <br /> a_ - <br /> qgNT ASBESTOS <br /> FACILITY T`IGKET N B _ �.��� ��� ❑WOOD <br /> SIGNATUR�OFAUTI)O ❑ ASH <br /> 7�C - <br /> � � ❑OTHER <br /> SCHEDULING MUST g MAD!` PRIOR TO Q 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS / <br /> SUBJECT TO REFUSAL P0I4 ARRIVAL ONGOING DAILY DELIVE ISS J�IUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFO <br /> TO SCHEDULE CALL (209)982-4298 / (/ MANIFEST # 73179 <br /> ( SALES COPY <br />