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NON-HAZARDOUS WASTE MANIFEST <br /> MWARD R WASTE TREATMENT AND DISPOSAL FACILITY <br /> INCA ,' .ADB ACCEPTANCE MQ. <br /> REQUIRED F?E <br /> � •`" ""' RSONAL_PROTECTIVE'EQUII?MENTt <br /> GENE R ;x;; :. _ <br /> r V � []GLOVES ❑GOGGLES 0 RESPIRATOR ❑HARD HAT <br /> AILING! DRESSPP {' P <br /> TY-VEK [:]OTHER <br /> f <br /> n, . <br /> J <br /> _77-CITY,STAE,ZIP. ;� ' SPECIAL HANDLING PROCEDURES: <br /> T] Cbl; EFiSQN <br /> SfG E'OI�AUTFiORIZEb AG' EN' T'/TITLE ' <br /> ii <br /> WASTE TYPE17 _.: �..... �'.1 RECEIVING'FACILITY <br /> D <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL_ ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY " (209) 982-4298 PHONE <br /> r (209) 982- 1009 FAX <br /> AME NOtES:.' :,TRUCK�NIJMBER . <br /> Iz- <br /> ADDRESS <br /> 1 + CITY,STATE, ZIP ' <br /> 9 f PHONE ,,; <;.F - - i ,:%END'DUMP-� gOTTOM:Dt�M�',,, TRANSFER � ,; <br /> El <br /> SIGNATURE OF AUTH6RIZ9D AGENT'OR DRIVER' DATE ROLL-OFF(S) _T. '�. FLAT BED. ,VAN „s:DI IJIUIS�' �Y <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:,)', TO BE COMPL,. DFBrFC�RWAfiD)f <br /> impairs the safe and effective operation of'ihe Landfill. Forward shall use .a. ;+ F. r <br /> n <br /> re-1 onable efforts to�promptly notify Dispos of its inability to accept the :, s_ DISPOSE ; B1Cj = A1.ERATE STOCKPILE ?OTH q r <br /> wade for any ieason. If Forward's refusal to'3ccept the waste is based on- SOIL . <br /> n weather or other site conditions,Forward shalt notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE ' <br /> ' aEAhARKS�. - . : . .� --•-•�-� -�—�---�-..-,rte. <br /> _ ._ ..t �_-.. Arajr� x .F•,�da : . ., 9�:.v .._ n .r J [�'ja ❑ NON-FRIABLE <br /> FACILfFY TICKET NlJAA81;R _ -- ASBESTOS <br /> .. .. . . ❑ WOOD <br /> g NATURE 6 t3RfZED;AGEI>ITF <br /> .� ❑ ASH <br /> [:] OTHER <br /> S(:IJr-Lit IIJNGV MUST RE MADE rP4()Il 1'o X1:()0 r.h4. '1'11F l)AY rnlOtt TO-FXPECff_[) AtInIVAL * ANY UNSCHEDULED LOADS ARE <br /> ;I SURL'"'r l I�t.FllSAI..I-11"Of.1 A103TVAL. (Ifd(011,10, f)AILY t?FI IVEFItL:S MUST'Bl- ';C1ir-1)tt1_rD WI rFl TILE LANDFILL THE DAY I�EFOt;E. <br /> i lt) SC:ttFI)t11,E CULL(�r)9}982-47�a <br /> MANIFEST# - 7883 <br /> '111l1NM0111FFI COPY <br />