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v <br /> (t�FORWAA NON-HARDOUS WASTE MANIFEST <br /> I rN C OR I' ORA TED WASTE TREATMENT AND DISPOSAL FACILITY <br /> 5 <br /> ,JOB ACCEPTANCE N0. 17 7 {-_ <br /> Agibik <br /> GENERATOR <br /> REQUIEtEDPERSONAL P�OTECTNE EQUIPMENT <br /> ❑ O ❑GOGGES ❑RESPIRATQR []HARD <br /> HARD HAT <br /> ❑TY-VEK [:]OTHERMAILING/ DD ESSL <br /> ;�u� n SPECIAL HANDLING PROCEDURES <br /> CITY,STA , zi F' <br /> PHONE <br /> SS )) I <br /> SO. <br /> ..YI h � ,�iW,CbNTACT-E <br /> 3w w,"fis.Yi..o <br /> SlG�fATURE OF AUTHORIZED A��N�/ TITLE,,,�'�,� DATE,f,' 's- <br /> i <br /> WAS TETYPES/! �- r' "����? >�_ �.� }�x "� FIECEIVING FACILITVY <br /> SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL 501E ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br /> ` ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> • �Ivr�«1'� C !{ <br /> A6DRE5 _ , _ _ y 3 �_ _ _a t. Z12 g qv <br /> PHONE - _ _ ENDD,U/MP BOTTOM DUMP _TRANSFER <br /> SIG�ATURE OF AhX}THORIZED AGENT.OR DRIVER DATE _ .� ''Rb (S) _ FLAT-BED-= ,-j_VAN - „DRUMS <br /> ,C. <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impar the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO 13E COMPLETED Y FORWARD <br /> impairs the safe and effective operation of the Landfill Forward shall use r <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ;_ -� DISPOSE BIO AERATE 5T LE OTHER <br /> waste for any reason It Forwards refusal to accept the waste is based on <br /> SOIL w <br /> weather or other site conditions,Forward shall notify the Disposer when site <br /> ` conditions are expected to change-kuch th'al Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> z <br /> NON-FRIABLE <br /> -�' -- __ ❑ <br /> ASBESTOS <br /> FACILITYTICKETNU BER �a� � `_ .; .,zs fi_ �~ <br /> _ ❑ WOOD <br /> SIG kJRE AUTrIOl DAT_Eti,j§ <br /> -__ _. ❑ ASH <br /> r - �r�/ {/ ❑ OTHER <br /> SCHEDULItSIG MUST ADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS Af <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFOF <br /> TO SCHEDULE CALL(209) 982-4298 <br /> SALES COPY MANIFEST # 73180 <br /> z <br /> - <br />