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y i'a • . <br /> NON-HAZARDOUS WASTE MANIFEST <br /> D WASTE TREATMENT AND DISPOSAL FACILITY ;. <br /> INC. JOB ACCEPTANCE NO. <br /> QUIREC];^PERSONAL RRDTf`C111//E EOUIPME_NT*L� :�, <br /> � �c.! --ti <br /> [:]GLOVES ❑GOGGLES E]RESPIRATOR <br /> ❑HARD HAT <br /> II.fNG; DDR El TY-VEK OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> P NE; '1i,yW& $ t•" wrti t $� 1 � 3k s9+ °"" <br /> n C ACT Pf.P,90N <br /> Ald <br /> �[ 14.ATURE O A THO I D,AGENTN' <br /> u <br /> TIT,LE r 7- <br /> 'WASTETYPE,tRECEIVINGFAGlLTt Y, <br /> , <br /> .t <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FF#IABLE ASBESTOS FORWARD INC. LANDFILL .. <br /> DISPOSAL SOIL � � �. ❑ WOOD <br /> ❑ CONSTRUCTION SOIL El ASH <br /> 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY ;f µ , ' .. _ ' °`_.i _.= _ , (209) 982-4298 PHONE <br /> (209) 982- 1009'FAX <br /> -TRUCK NUMRER <br /> D/p ��ryQ[ ... .. i ....._. .v -L..• _. .,-.�...._ a...[3� «....... ••-.Cm._fin•w.........Www.w.'h........•-..�.:rr..,..-,5..=.'. . <br /> CIT Y3ZTA _ZIP <br /> END DUMP "BOTTOM DUMP )rE <br /> / ❑ 13SNATURE.OF`lUTHbRIZE�AGENT:0k,DRVEF DATE '` ' ROLL OFFS ' rL�T-t3ED "EVAN' ` pn <br /> .17 El �.11 ❑ ❑ <br /> .•lJ <br /> 2/14 <br /> f J <br /> FORWARD INC. LANDFILL P9!lC YA1;1)s <br /> Forward shall have no obligation to accept the waste if weather or other i <br /> conditions impair the safe and effective disposal of the waste or if the waste ' DISPOSAL METHOD r (TO BE COMPLETED;BYQRWARD): <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability'to accept the _., ISPOSE10 P AEFiITTI_'$TC7CKPlLE �' FIIwI ' . . <br /> waste for any reason. It Forward's refusal 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 /> R n-`ter_ ';' ; r'��..�"'x�•-.'��.yc. r �'....-...—! 3'�_.,.`,-:rte <br /> NON-FRIABLE <br /> CM � � � ❑ ASBESTOS <br /> bGILIT, I ET,'I>�f ERS ,, f• > _. „., <br /> Ll WOOD <br /> gjGNATIJRE�OFsAUTHDRIZEO`AGE�IVT= ;;' �' -At":,=., _ •: <br /> ++ i ❑ ASH <br /> -C r` !k -_' [] OTHER.f' f. <br /> ` SoIEDUI-ING MUST BE MADE PRIOR TO 4:00 P.M. IFIE DAY PRIOR TO EXPECTED AIRRIVAL ANY UNSCHEDULED LOADS ARE <br /> SUf3Jr (J -10 REFUSAL UPON AnRIvAu ONGUING DAILY DELIVERIES MUST BF-SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> 1'0 SCHEDULE CALL (209) 902-4998 MANIFEST # 6658 <br /> r` TRANSPORTER COPY <br />