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NON-HAZARDOUS WASTE MANIFEST <br /> rw <br /> ARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC <br /> JOB AGGEPTANGF, NO. <br /> GENT=RATQR�rt� • � s , : r � 'y!i REQUIRED PERSONAL PROTECTIVE'EQUIPMENT;t,� <br /> t :.. ;'! <br /> [:]GLOVES ❑GOGGLES [:]RESPIRATOR []HARD HAT <br /> AILINC3,4DDFtE55..�,,� . t.° ,�` ....�k;.•_,..._���._..' �..:� ��. ❑TY-VEK []OTHER - <br /> � SPECIAL HANDLING PROCEDURES: <br /> e; !"° ��_ ,x>'" "' .� <br /> PHONE <br /> f! pN L "j �. <br /> CONTACT PER9 ,°+ P" <br /> „ SIGIVATUFiE O7<AUTHORIZED AGENT/TITLE <br /> WASTE TYPE f•. t �:ri _ _ _ _ ,.' RECEIVING <br /> fF <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> * DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL r-1 ASH <br /> 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY .f (209) 9824298 PHONE <br /> �. <br /> (209) 982- 1009 FAX <br /> AME NOTES: .''- =.__ _ ;f TRUCIC'NUMBER <br /> .i ADDRESS • '- <br /> y i <br /> CITY,STATE, <br /> PHt3TJE r : END DUMP s .BOTTOM DUMP" R_ , <br /> SIGNATURE OF;.AUTHORIZED AGENT OR DRIVER. DATE F{OLL� OFF(S) FLAW BED' ,:VANDRUMS�` <br /> _ O a E 1:3. <br /> y� "J 'tel. �� ✓ �' � <br /> FORWARD INC. LANDFILL cuBicYAns <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 DISPOSA! METHOD (TQ BE'COMPLETEb.BY FORWARb) <br /> impairs the safe and effective operation of the Landfill. Forward shall use , { a., <br /> R reasonable efforts to promptly notify Disposer of its inability to accept the :, - 1• t]ISPQSE BIO" AERATE STOCKPILE <br /> - waste for any reason. If Forward's refusal to accept the waste is based on <br /> 17weather 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 /> REMARKS, ' - _•--•-•;,-,�F f ,3 € ; <br /> =:' ._,.._.. ❑ NON-FRIABLE <br /> FACILITY TICKET NI�NEBER� ASBESTOS <br /> _c ��yy.� �.'r . �7.- --,' -i~' ❑ WOOD <br /> SICi�AIURE,OF"A�1Th10RIZEDAGENT>:'�.'' t DATE c';+ . 77. <br /> ❑ ASH <br /> ,y ! <br /> ❑ OTHER <br /> IFw.il IIJf; wisr f3f= MA17E 1`mon 1,00 P.M. 'IIIF- DAY 1'111011 '10 FXPFCTI_I) ArifuvAI- ANY UNSCHEDULED LOADS ARE <br />\`;I�1t,It:r,:l'Til f'•f�Fl.1' At_ttrpp� ARITIVAI.•ONG01MG 0PI.l_Y 1.11 LIVFfTIE-S WIS1-RE SCHEDULED WHI I THE LANDFILL THF DAY BEFORE. <br /> -n sr}fFuui_F CAt_I_ (7,09) 11(37,-42,9(3 <br /> MANIFEST # 7863 <br /> . <br /> JRAWSf'cmIr-n rnrY <br />