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ff . NON-HAZARDOUS WASTE MANIFEST <br /> A RD WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. � � <br /> GEN RAT „ <br /> p t y� �•} []GLOVES ❑GOGGLES []RESPIRATOR [:]HARD HAT <br /> hIIA INQ Ap ESS i . ffi�� r`:�? ❑TY—VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> '4 ;,TATCi- <br /> / r <br /> - PHONE4 <br /> Ct TACT I?EF{ yg <br /> y. _ � {. :;:� <. . spa; a� •:, _ <br /> J ��An 0� , <br /> SIL NATURE OF,A . OTHJR Z D _ E„ ,/,,,4 <br /> •JL �'31� x-(15 Y !'-� „�. .. ���I�I{ / � -,'_�7 <br /> . C7 <br /> WASTETYPE <br /> 1 ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON—FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSAL SOIL El WOOD - <br /> CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD_' <br /> El OTHER MANTECA, CALIFORNIA 95336 <br /> GENT=RATING;FACILITY , (209) 982-429'6 PHONE <br /> r: (209) 982- 1009 FAX <br /> Ta: ,• ty UCK.NUE <br /> I R ` <br /> YX <br /> -NAM ..� ,-�•, _ ., , O ,� TA <br /> 'F., w ..f }J• . .....F .�'L.,..,..:.+.. .. -_ ..-.�u�C,y' aP- mss+ ave_,.._ �. e <br /> (f�V�x'T-- M �; V ti T.�`f� �`„"„I"'._w .r'r-,..f'y A"w."•.� r.w ..�-.,.M a lV �.. <br /> it -ter -r,- �. ,* •-»» - w <br /> . <br /> 'CIT STAT£ ZIP' ' • r r , :, :� Ft :,s :! ... ':`4 s.' ;,.x � <br /> ��ff <br /> r 1aFiON %����.< f f�� 's — '. END DUMPS > .BOTTOM DUMP:; NFaER ;Ls <br /> SIGNATURE CfFJTFIO( IZ ENT•OR°DF31VE DATE t" ;ROS L-OFFt$) .:. `FLABE�- ,� ,sVA ^�DEiU„ <br /> FORWARD INC. LANDFILL <br /> CL! Cx ±ti..i«a :•a.•T'4..1.'�..-.d..i. ' ��n "N f ,.rp . .�l.xAiL-. ���� <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 tHO a„ (TO.Bi=COMPLETED 9YiFORWAFIp?' <br /> Impairs the safe and effective operation of the Landfill. Forward shall use .h r , s r t <br /> reasonable efforts to promptly notify Disposer of its inability to accept the + .rL DISPOSEBIO AIS 91pCKPI_!E ~s�,�: <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 /> �'�� w '"` �"� NON-�RtABLE <br /> J7r�� � ❑ ASBESTOS <br /> FACILITI 71GK7 <br /> ? 1 ❑ WOOD <br /> SI{ SIA t�FtE'OF.A41T'Ht7R_I CD7 Jl' ,`L �� 7. DATE <br /> f t. ❑ ASH <br /> c ❑ OTHER <br /> SCHEDULING DULING MUST BE MADE PRIOn TO 4:00 P.M. THE DAY PRIOR TO EXPEL:"1 F D AI3nIVAL * ANY UNSCHEDULED LOADS ARE <br /> SIjt3Al:CT TO REFUSAL UPON A11RIVAL,ONGOING DAILY DELIVERIES MUST RE SCHEDULED WITH TIME LANDFILL THE DAY BEFORE. <br /> TO SCIIEDULE CALL. (209) 982-5298 t, MANIFEST# . 6642 <br /> TRANSPORTER COPY <br />