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�J <br /> NON-HAZARDOUS WASTE MANIFEST. ;.,...i, <br /> FOP, WARD WASTE TREATMENT AND DISPOSAL-FACII.ITY` <br /> JOB ACCEPTANCE NO. . <br /> BENE OR ?f .,t ;M .; .rp <., REQUIRED PEFi$ONAL-`PRO_TECTIVI=,EQUIPMENT ,: <br /> �(} j �p tc 1jr ❑GLOVES ❑GOGGLES 0 RESPIRATOR ❑HARD HAT <br /> MA ❑TY-VEK ❑OTHER <br /> cI ,Yr z s y <br /> SPECIAL HANDLING PROCEDURES:;;, _E; ZIP " <br /> , <br /> PFit7NE <br /> CONTA T;PE <br /> ONS a . � ..��_ <br /> SIGNATURE OF AUTWOTiIEDfAIsIVT'%, T1TLE bAT-E''"�' <br /> F_ <br /> WASTEJXPE.-,, RECEiVING'EACILITY <br /> ❑ SLUDGE: <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC: LANDFILL <br /> : ❑ DISPOSAL TIO ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASM <br /> OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY-. x _ i. ... (209) 982-4298 PHONE <br /> -h-t .z _ - .,...............,. ..,__1..1._. <br /> R.I tiRaiq,. 4 <br /> (209) 982-1009 FAX' ' <br /> NAME`" •• 4, ` " i_`.� _ a, .HOTE rt :r ;..TRUCK-NUMBED `:•_ <br /> 'ADDRESS' <br /> n• CIY,STATE; IP= <br /> r <br /> PHONE �„ <br /> .�.` �I=Nb DUMP. - . BOTTOM DUfufF-' �TRAILSFER <br /> N rtIJFiF OF AUT RIZECJ AGENT OR C)Rii/ l ' bA E` ^ :,'! O-OAF 51 -FIA BED K AN <br /> El 11 <br /> ' FORWARDSNC. 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 DISPOSAL METHOD:-"'),(7b E3 COMPLETED'BY'<FORWARb <br /> impairs the safe and effective operation of the Landfill. Forward shall use . <br /> I'M <br /> ti r.:• L' <br /> n <br /> reasonable efforts to promptly notify Disposer of Its inability to accept the A,± 1, ;� ,��, DISPOSE SIO'.E �EfiAl Ir BTOCKpII STI�Eq <br /> waste forany any reason. If Forward's refusal to accept the waste is based on � s <br /> r1 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 /> ?_ NON-FRIABLE <br /> ,. , l,,fQ '�__ D� - ❑ ASBESTOS <br /> i�C1LiTY: ICK El <br /> WOOD <br /> SIGNATURE OUTHORIZED GE,NTS �� rr - a=' DATE ` <br /> ❑ ASH <br /> r J4,-, for ❑ OTHER <br /> wL <br /> SCIICT)MANG MUST" I3F. MADE PRIOR IQ 1:00 P,M_ THE f]AY PRICJR To f=Y,f'ECIED AnnivAL ANY UNSCHEDULED LOADS ARE <br /> at tP.JECT TO RrFU`AI-UPQN ARRIVAL,ONGOING,DAILY DELIVEMES MU;r 13E SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCIIIEDULE CALL(209)9112-4298 <br /> ¢ MANIFEST.# 6655 <br /> TRANSPOR rER COPY ' <br />