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NON-HAZARDOUS WASTE MANIFEST.1. -- ; <br /> 1 - 1�ARD =- WASTE TREATMENT AND DISPOSAL"FACILITY <br /> 1N JOB ACCEPTANCE N0. <br /> GENERATOR ",. � � ;'au, 'REOUfRED I?ERL5f3NALPROCTI1lE:EQUIPMENT,' a <br /> _ ? <br /> 0 Yp / I CJLc�� ❑GLOVES O GOGGLES []RESPIRATOR ❑HARD HAT <br /> "!LING ADDR 5 � TY-VEK ❑ <br /> OTWER <br /> / . <br /> CITY;.STATE, ZIP _•. �, v...Y � ;,, t,�>,.�',,�,= SPECIAL HANDLING PROCEDURES: <br /> i V TMJ <br /> rr CONTACTF;ER$ON` ,. � j c f iy ,, <br /> SIGNATURE OF.AUOiIZED PNT�/TTITLE A <br /> c r Itl i71 � 7 <br /> WASTETYPE= "�.:.." �* .. .'�•. rr�t, .r ,4; x� REGFIVING;FACILITY <br /> El SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC.LANOrILL <br /> " ❑ DISPOSAL SOIL_ ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> OTHER MANTECA, CALIFORNIA 953.36 <br /> GENERATING FACIUTY, (209) 982-4298 PHONE <br /> V_ <br /> (209) 982- 1009 FAX <br /> NAME <br /> NO.T�ES:'_...�- 7RIJCK'IVLIMFII:F s <br /> ".,CIT'Y,�STATE�7SIP ----xM 777 <br /> 4 <br /> I?I lOIVE - t , 777 <br /> END DUMP M,: q UTTOM iL1MP_ �: TRANSFER f ' <br /> 1S16NATURE I=AUTHOR! D AGENT OR DRIVER`- .' DATEwV,w' <br /> ROL <br /> * �I I <br /> (FORWARD.INC. [LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other <br /> + conditions impair the safe and effective disposal of the waste or if the waste <br /> impairs the safe and effective operation of the Landfill. Forward shall use .DISPOSAL METI HOD ' i(TO,BE�CQMPLETED BY FORWARD) <br /> it reasonable efforts to promptly notify Disposer of its-inability to accept theDIST3t7SE BIO-". AERATE ICF?ILE oTl it ? <br /> waste for any reason. If Forward's refu$al to accept,the waste is based on <br /> F? vueather,or other site conditions,Forward shall notify the Disposer when site ❑ SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ <br /> WAR-KS ;f' ^�_ SLUDGE <br /> ' s ; O <br /> ww ❑ N N-FRTABLE <br /> ASBESTOS <br /> �.• ❑ WOOD <br /> fSIC3N,4T1_ lff OF ATJTH��Z WAGE T , <br /> _ . _ �. ❑ ASH <br /> `� / ❑ OTHER <br /> SCIIEIAILING MUST f3E MADE PRIOR TO 4:00 P.M. TIME DAY PRIOR 'TO EXPE ' ED� RRIVAL a ANY UNSCHEDULED LOADS ARE <br /> .3�ln,t-CT TO RFFil AL UPOrf AfifillVAL. OPIGOINC;f)AIt Y DEI-IVERIES MtlST' fat S a. ED WITH THE LANDFILL THE DAY BEFORE. <br /> fU %rfiEf7ULE CALL (209).982-4298 <br /> MANIFEST # . . <br /> ', .�, Tr3ANsf�'tFR copy . <br />