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�AARD NON-HAZARDOUS 1NASTE f�ANIFEST .. <br /> WASTE TREATMENT AND DISPOSAL FACILITY' <br /> ' JOB ACCEPTANCE NO. <br /> GENERATOR REDUIREI� 'GA <br /> [--]GLOVES ❑GOGGLES []RESPIRATOR ❑HARDHAT <br /> MAJLINAI3DR�SO <br /> ❑TY-VEK El OTHER <br /> CITYSTATE .w L•,nz ; .xx SPECIAL HANDLING PROCEDURES: <br /> ,ZIP • , ; <br /> 410 <br /> CONTACT,PEPSON,. J:t� <br /> �,h�Q! .. ..�...,�. -----•..•_,,.,.-,.- <br /> SF NATIJRE OF;AUTHOR(ZED�IGENT�/ TITLE " , - bAT�- .. `""��'' <br /> R WAST z a <br /> � E TYPE, ., � _�_�• .� . ,�: . `.' '.' .._.._ ,. _ . . ... RECEIVING FACILITY",p. � ,' : r ;M a .�,1, � ; - •.��� <br /> ❑ SLUDGE i <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INO.'LANbFILL <br /> a ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> E4�HER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY" (209) 982-4298 PHONE <br /> , <br /> (209) 982-1009 FAX <br /> {CME goTESr *',rr v ' TRUCIC'NLJMBEP <br /> A6bALSs ': . ` . .Y7a <br /> CITY,'STATE,-ZIP <br /> PHONE t O DUMP s TIiA <br /> :.4rl<�� <br /> -,o77 — '�7j�. ENb❑DiJMP , BOTTOM. <br /> 51GNATUFiE OF AUTHQRIZD.AGENT VQR DRIVEFf DATE„M .� ROIL-OFFS} FLAT BE VAN <br /> El <br /> w <br /> �` rU3ICs 'd—_ ..... -6. 4�FOMW`ARD IiNC:IM10FILL te <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$E COMPLETED.BY FORWAR[7) <br /> impairs the safe and effective operation of the Landfill. Forward shall use a. -x,: �,. ,;- <br /> �_. xt <br /> reasonable efforts to promptly notify Disposer of its inability to`accept the ra OISOSE” 81[3' AERATE BgGKPIC� 5'(')THER:, <br /> waste for any reason. If Forward's refu"sal to accept the waste is based on <br /> weather 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 ❑ SLUDGE <br /> REWRIC"S7T" ,,• . <br /> NON-FRIABLE <br /> FACiLlfY TICKETI�1UN113ER: ,, r `i? <br /> ASBESTOS <br /> 1 j D <br /> WOOD <br /> 51��I,A7ilR �HORIZEb_AGENTr`�'-`R"�' DTE'' "'" - <br /> ( / .�_. _ ! � ❑ ASH <br /> X) <br /> - ❑ OTHER <br /> S(,Atf lft!I-INt.; MUST' FIE MADE PRIOR TO /1:00 P-M. 1TIF DAY PRIOR TO EXPECTF_D ARRIVAL + ANY UNSCHEDULED LOADS ARE <br /> sw3Jf-.6 r 16 r;ErUSAI_{111()1`4 ARRIVAL_ONGOING DAN Y DFLIVEP,IES MUS I BE SCI IEDUI_ED WITH THE LANDFILL THE DAY BEFORE. <br /> To Srl fEDULE CALL (209)982- 298 6653 <br /> MANIFEST #' <br /> TRANSPORTEF1 COPY <br />