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NON—HAZARDOUS WASTE MANIFE&T..', ., <br /> RD - WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. �.. � Z— <br /> _.? _. <br /> GENERATOR t „� k4�' f3EQUIRED;PEIS�f�ALPEIOTECTIVEEQUIPM!~NT <br /> 7(� Q G!_OVES ❑GOGGLES ❑RESPIRATOR. [:]HARD HAT <br /> MAILIIV(3 ADDFiESl4=0 4; ��� / []TY-VEK []OTHER <br /> 'F CITY,STATE; ZIP " �'`' `` " a' = ;'., [�'J+ SPECIAL HANDLING PROCEDURES: <br /> S�GNATURE;OF=AUTFiORIZEb AiT#/,TITkEr �x. DATI~ ' '3_ * <br /> __. 7 _ <br /> Q <br /> RECD WASTE TYPE; t µ r TVI A I <br /> rl <br /> NGF CIL TY I <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSt ❑ <br /> CONSTRUCTION <br /> SOITIO ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL E] ASH <br /> OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITYL, ; t` .:. � .' T Y (209) 982-4298 PHONE <br /> (209) 982.= 1009 FAX <br /> ` NAME,:. r- r�CrQ� N05. .71 :5.� T g .t...TRIt1CIC NIJMBIrR <br /> .h�L LI r yr Y.. .e3• <br /> _ t- <br /> - CITY,STATE,zIP <br /> Aj IM <br /> PHONE,:. <br /> HONE, '(��� / S,� `END BUMP �OT.TOiVI DkJ11dF? =`rRANSF Fi.`y' <br /> / / lam ❑ —,--... ❑ f. <br /> 81CiNATURE OF' UTFiOFiI AGENT OIC bRIVER ` DATE: ROLL OEF[S)4— �,FLATBED; v• 7JI]FEJIB�< <br /> FORWARD INC. LANDFILL cu�IcrYADS ,: d , o . _ <br /> Forward shall have no obligation to accept the waste if weather or other lC7 <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD AT BE COMPLETED°BY; <br /> impairs-the safe and effective o ration of the Landfill. Forward shall use t;[ FORWARD;: <br /> Pe •-. s <br /> it reasonable efforts to promptly notify Disposer of its inability to accept the u ., „ : Dl$PQSE +, B10 _u dERAT -KPII ;�xOTHtTt' <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> 1t weather or other site conditions,Forward shall notify the Disposer when site E] SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste > �+ ❑ SLUDGE I <br /> NON-FRIABLE <br /> ASBESTOS EACH IfYsTiCKE 1�fU�iA'BEFi � .�:x r,` ❑ ASBESTOS <br /> ❑ WOOD <br /> �� ❑ ASH <br /> -�j <br /> [].OTHER . <br /> �. <br /> MUST l3rz: MADE Pn;012 TO 4:00 n.M, IVIE DAY PRI012 TO EXPEM RRIVAI_ * ANY UNSCHEDULED LOADS ARE <br /> .Slfn.rFC1 TO 11,11-1=USA1_UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST RE SCHEDULED WIT11 THE LANDFILL THE DAY BEFORE. <br /> 70 (%11FVULE CALL(209)982-4298 <br /> MANIFEST# 6647 . <br /> 11iANSP.ORTER.COPY <br />