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Iff <br /> NON-HAZARDOUS WASTE MANIFEST <br /> kIRD WASTE TREATMENT AND DISPOSAL FACILITYa JOB AGGEP!TAN95 NO. ~ vo <br /> GENERATOF_i 'r' '' • � _ i.' ^. ;. `t" "`� �aca R_EQL1IREQ PERSOIJAL.F?ROl ECTIVE'..,QUIPM7 TN ` .M <br /> ❑GLOVES [—]GOGGLES ❑RESPIRATOR [—]HARD HAT <br /> IVIAILIIVG A13dF{ES ' /``fsr ❑TY-VEK ❑OTHER <br /> Y6 � SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,71R �. ? { � <br /> n <br /> n CfO1JTAG' R50tJ�'"•'""1",�'��`"'.�-� "�'•- <� �`-�" �w z.� CIO <br /> .-'� <br /> SIGNA7t3RE QF A[1TFiORIZED ANfi GE / TITI E # ,4TE <br /> WASTE TYPE RECEIVING FAC1LiTY ; "r <br /> - F - -� ...'.,M�?4. -'�4X:. ■- t«; 4:s .5'WY"' ........-...,_,.. ,.,.. ..��."!v�? x;+ :8.v ..;.:......i....� -=•—,.+.-$.d1.m�:....c..:Sfu:;a I•.,.. <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBEMS• : FORWARD INC. LANDFILL <br /> ❑ <br /> DISPOSAL solL ❑ wooD gggg SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL SH f ' . "- <br /> OTHER MANTECA, CALIFORNIA 95336 A <br /> GENERATII`V FACILITY <br /> (209) 982=4298 PHONE <br /> (209) 982- 1009 FAX <br /> �� �7RUCK NUMBER Ev: . <br /> S s t, 7Aii ti x <br /> NAME , I J NOTES � U , <br /> ADDFiE4 <br /> • L�ITrY STATE IP .,,• :�r S Ad " ,rr <br /> ; <br /> POO E; � ,�°.f y�4 � / 4: 4. �, t;�� � �, ENO DUMP -', ''BOTT M,DUMP ,. •TRA�FE A <br /> SIGNATURE OF';AUTHOfIED'AGER CSTR bRI1lF ,f 'DROLL FF 0—) A CtRUka�: . <br /> C1 11 E <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL W -�- -- <br /> � -F <br /> Forward shall have no obligation to accept the waste if weather or other l <br /> + conditions impair the Safe and effective disposal of the waste or if the waste ,DISPOSAL METHOD ',ajTO COMPi�ETEb BY f=G�RWARD) <br /> impairs he sate and a tective op .r <br /> If of., a Landall. For and hall use <br /> ' Feason fe dport to mpkly,not DPS s rof its bi�ity o ept the !°�? E A STOC1tPl SER <br /> ' - waste for any r ason 'If Forward's refusal to-accept the waste is ased on r 4 G � A'} } <br /> TI weather or other site conditions,Forward shall notify the Disposer"en site ❑ SOIL {. � <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> 6 WMdI�I<S�,.C"' -.:r ,,j.?"'., 3'', E5 ii 710, <br /> ' _17-1 _ <br /> • 'c!rl;? .xr• ,:�I �' ^•., NON-FRIABLE <br /> �.-� ❑ Ast3ESTos i <br /> F VACILITY-f KE`T NUMi ER a � '� - <br /> • - -. -..--_...�..Jri?�" �aY•.t"r- . i r,5 �:t•._ ❑ <br /> r9IQNATURE OF AU fFiD`1 G�EIV ,'*, ` D_, �T WOOD <br /> f ❑ ASH <br /> ` 2L ❑ OTHER <br /> r <br /> Sc t 1rLAIIANG MUST BE MADE PPIOR TO 4;00 P.M. TI IEw DAY Mon TO EXPECTED ARRIVAL 4 ANY UNSCHEDULED LOADS ARE <br /> SVrJ IECT TO rEFUSAI_IJP014 ARRIVAL,ONGOING DAILY IJEI,.Ivi=RIES MUST DE SCWEUULED WITH THE LANDFILL THE DAY BEFdRE. <br /> TO SCFIEDULE CALL 1209)962-4298 C�+ C <br /> MANIFEST.# v v J <br /> TITANSPORTEH COPY <br />