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ARD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPbSAL FACILITY <br /> INffJOG ACCEPTANCE NO. <br /> GENERATOR '` �_ _�. , ;; ,. �, ��_� <br /> REQUIRED PE _ EQUIRMENT�Y <br /> PROTECTIVEU � ❑GLOVES ❑GOGGLES ❑RESPIRATOR_ HARD HAT <br /> !LI_ G DDFiE S ❑TY VEK ❑OTHER <br /> -0 <br /> CITY STATE ZIP; SPECIAL HANDLING PROCEDURES: <br /> � PHONE <br /> nr <br /> CO 4T t PERSONY t' F'd <br /> SiGIVATURE OF. UTHORf`LEO AGENTa%�§T1TLD {.: Y; flATE :F <br /> * _ : . ._ ..� 6, 22 -rtl <br /> WASTE TYPE gf, p ,;_ d RECEIVING FACILITY :... . ., <br /> r <br /> ❑ SLUDGE <br /> �_ ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> 'DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL El ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> AME i r NOTES:,, b "TRUCK NUMBER <br /> ADDRESS <br /> CITY,STATE,ZIP <br /> �.. ., <br /> PHONE ., <br /> , TRANSFEND,DUMP BOTTOM DUMP a <br /> yi6 0 0ER <br /> - � <br /> =_ SIGNATURE OF AUTHO ED AGI=4T,614 DRIVER,` DATE FtOLL,OPP(S} FL%1T gED. ,,`WAN61 ... <br /> r' <br /> FORWARD INC. LANDFILL CUBIC YAlps <br /> t Forward shall have no obligation to accept the waste if weather or other `�b <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD '(TO I�E,COMPLETI✓D BY FORWARD) , <br /> impairs the safe and effective operation of the Landfill. Forward shall use M O., ..•- � `� �.- <br /> r>< reasonable efforts to promptly notify Disposer of its inability to accept the ' DISPOSE ' Blb !�- AtFk` ST&WPIL� <br /> waste for any reason. If Forward's refusal to accept the waste is based on SOIL 0 weather or other site conditions,Forward shall notify the Disposer when site ❑ <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> /u r 11 tY- ❑ ASBESTOS PAGILITY-;PICKET°NUMBER. ° '10 S <br /> ❑ WOOD <br /> SIGi'JAl`URI=OF,,IUTHORIZED�AGENt; DATE:' tf::= <br /> ._ �$°--- <br /> El ASH <br /> ❑ OTHER <br /> +::I IEL'Lll,.trac� m(.iSf' nr r,4Ar)E !'mon Tri 4:00 F.M. THF D" '10 E? PFC IFF) Af;RIVAI_ ^ ANY LINSCF-IEbUI.ED LOADS ARE <br /> SUP,WCT TC!F;Fr-UPIAl_ IIt`"1,1 Attt;R1Al . UtlGoIric,I:rAILY DEIJVr RIC-S f,4t I•',T r�.r ;(`,l Irl?111_I D SNI f 117llr LANDFILL 1HF_DAY F3EFofiE. <br /> �'rl rrrtlEl:�l!I._E C.Ar.I_ (�t1P} 9F37-g7.nS <br /> MANIFEST # 7881 <br /> 7rtgrtsturttr•n c;ory <br />