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IAIJRRD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> IN - JOB ACCEPTANCE NO. q3 - �/Ud, <br /> GENERray. , . <br /> ,REQUIFtEb PERSONAL;Pa07EC�IVE;BQIIIPMENT��,_�� "' <br /> GLOVES E]GOGGLES [I RESPIRATOR ❑HARD HAT <br /> ILMGr 6DRESS TT ' <br /> ,fir ❑TY-VEK ❑OTHER <br /> a SPECIAL HANDLING PROCEDURES: <br /> CITY;STATE, <br /> " PHONE �f <br /> n GONTAG PER Ok... =s i. �. �d LL 2vC�� <br /> SIGNATURE O UTHORI ED AGENT/_,TITLE DATE. <br /> ,. <br /> WASTE TYPE = { r <br /> rr RECEIVING'FACILITY � . <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SO11_ ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING,FACILITY <br /> (209) 982-4298 PHONE <br /> (209) 982-- 1009 FAX <br /> V <br /> i <br /> ME ; <br /> � s '�'' } -" • �'%,< r, _� N0#E&., •;' ,. 'TR[1CKNlJMBER• . <br /> ADDRESS <br /> s' CITY,STATE,ZIP .�J <br /> P NEEND DUMP BOTTOM DUMPS VANSFER' <br /> El 0 <br /> SI ORE OF AUf,HORIZLD AGEN7.6R DRIVER ,�, DATE 'a. `RILL.,"OFFj }--7-���LAT-BEDS <br /> El <br /> CU131C,YARDS <br /> FORWARD INC. 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 <br /> impairs the safe and effective operation of the Landfill. Forward shall use TO BE COMPL•�TED,E Y FORWARD).- <br /> reasonable <br /> ri '.R r%,r,�.. '-� b rs s.r:.ar <br /> reasonable efforts to promptly notify Disposet,of its inability to accept the "' DISPOSE BIO AERbTt STOCKPILE� IOTHER�r" <br /> waste for any reason. If 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 /> z.� xtr ;>-:,:?..?. .5*y .�•' ❑ NON-FRIABLE <br /> AC�LITY TICK 1�Il1f EM, --—� ASBESTOS <br /> El WOOD <br /> 1b,NATUREOF AUTHORIZE�GENT bATit <br /> % ❑ ASH <br /> [] OTHER <br /> S(11rj) lI-!N.G MWiT 13E P`[/\1)E F"i;IOR TO 4:00 P.M. 'IIIF DAY TO rxPECTf_f) ARRIVAL_ ANY UNSCHEDULED LOADS ARE <br /> SI,H',.tf f:f '!,l fTi'1M.lrAt_1l11014 ARRIVAI-..fJEdi C71FlC; l-;AII..Y I EI-IvEnir- I+ ust -F Ill oll,lylJI-FI.)Wall THE LANDFILL THF DAY F3EFORE. <br /> 10 SC:I IEF?U(E CALL (209) 982-499r37865 <br /> MANIFEST # <br /> TIT ANSF11Di11 Fin COPY <br />