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WA �� + NON-HAZARDOUS WASTE MANIFEST �- - WASTE TREATMENT AND DISPOSAL FACILITY fN�Mr JOB ACCEPTANCE NO. SH ENERATOR REQUIRED PERSONAL PROTECTNE EQUIPMENT _ i''I�, �C i i�� I �(_��` ❑GLOVES [:]GOGGLES [:]RESPIRATOR [:]HARD HAT LING ADDRESS ❑TY-VEK [:]OTHER - SPECIAL HANDLING PROCEDURES CITY,STATE,ZIP _ PHONE CONTACT PERSON _ - _ 4' t SIGNATURE OF AUTHORIZED AGENT/TIT i_'E_ DATE FCS L - .-a�.r - .. * -L, '' -r V, TV?21 TYPE_ _ - - � - - -� � RECEMNG FACILITY-.5, ❑ SLUDGE ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL ®,DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH ❑ OTHER MANTECA, CALIFORNIA 95336 GENERAMNGFAC[LRY - _ � - --_ i; ' --�_ (209) 982-4298 PHONE 1 ') C Z �TSNC K CD DT- (209) 982-1009 FAX k E ME - ONE�� T� ` .w�. ._END DUMP'''"' ='""BOTTOM DtIKP_,t - El SIGURE ' D D'�iGENC'.OR>RRNEI��_ DA '�' RO -OFI=5 -B 'V * 3 az- gy ❑ ❑ ❑ ❑ FORWARD INC. LANDFILL YM Forward shall have no obhgatrarr to accept the waste d weather or other conditions impair the safe and effectnre disposal of the waste or d the waste : 9POSA12DMEIHO0i;__: n3-BE COM impairs I?LETE Y.F D) pairs the safe and effective operation of the LandfilL Forward shall use �a+�-=- x� � reasonable efforts to promptly notify Disposer of its viability to accept the waste for any reason If Forward's refusal to accept the waste is based on weather or other site corxlrhons,Forward shall notify the Disposer when site ❑ SOIL conditions are expected to change such that Forward will be able to-accept { the waste_ ❑ SLUDGE RKS ii I ❑ NON-FAIABLF - _ ASEESTOS ❑ WOOD SIG TURE OF AUTHORIZED AGENT - DATE - --- - - -- - ' ❑ ASH ❑ OTHER CHEDULING MUST BE MADE PRIOR TO 4.00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE rSCHEDULE CALL(209)982-4298 MANIFEST# 14397 SALES COPY