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RD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> IIVCe- JOB ACCEPTANCE NO. <br /> GENERATOR REQUIRED PERSONAS PROTI=GTIVI=.ErQUIPMENT<` "s yF <br /> _. <br /> �. <br /> `'� <br /> []GLOVES ❑GOGGLES []RESPIRATOR <br /> ❑HAF�D HAT <br /> AI' 'RESS - <br /> rt'J ,5�� ❑TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> PHONE ' / ,. :' <br /> tr COT <br /> SI NATURE F AUTHOi LED AGENT' /.TITLE `` <br /> WASTE TYPE-;,,4,;M-"-'-t- ;, RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> [ DISPOSAL 501E ❑ 9999 SOUTH AUSTIN ROAD <br /> ,A <br /> r_1 CONSTRUCTION SOIL ❑ ASH ASH <br /> OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY ;` . '• •F ' (209) 982-4298 PHONE <br /> -t,"o- <br /> (209) 982- 1009 FAX <br /> r <br /> i J <br /> MNOTES: - s; TRUCKFNUMBER <br /> . _ <br /> ° CITY,STAT Zip <br /> END DUMP .,.,..,',BOTTOM DUMP,,,.-. , RAN$ <br /> ys <br /> SIGNATRE 0f; <br />