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` NON-HAZARDOUS WASTE MANIFEST <br />' - `IVC, <br /> FORWARD---� WASTE TREATMENT AND DISPOSAL FACILITY <br /> _ := JOB ACCEPTANCE NO. N � �6-7 <br /> GENERATOR _ _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ <br /> (t-\ `, (:�-i vI- [:]GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HP <br /> MAILING ADDRESS ❑TY VEK [-]OTHER <br /> tL' <br /> CRY,STAT ,ZIP f SPECIAL HANDLING PROCEDURES <br /> E <br /> • t :- f,. L tw <br /> PHONE PSI I <br /> - <br /> CONTACT PERSON J r _ _ <br /> Y I + , <br /> SIGNATURE OF AUTHORED AGENT/TITLE _ DATE <br /> _ - <br /> r� Fr,- �k�c�v cr �/�J��] )w w <br /> .. i , f ! <br /> • .�E •_ -Jr==- --= =-- - � . RECEIVING FACILFfY__ - __ - <br /> ❑ SLUDGEu <br /> ElTREATMENT SOIL E3NON-FRIASLE�ASB15OS� _ �-FORWARD INC. LANDFILL <br /> • 'g DISPOSAL SOIL ❑ WOOD <br /> ,. ❑ CONSTRUCTION SOIL El ASH ' ` ��-� 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILCCY- �_ =i �_-� �,� �w�_w w (209) 982-4298 PHON <br /> t '1 t ? � ��vly �{ (209) 982- 1009 F ,L7� ; <br /> "fir <br /> NAME-' ",E . � �_ �r. �: �-� �.�y rte— NoTEs:a :"=` :ti �Ru <br /> etG_NUMH <br /> > <br /> ADDRE <br /> C <br /> 1114 rE C IN <br /> OIm <br /> :. ' END D �tJMPY <br /> El <br /> .ZGNATURE_.O 6 =0K D61VER S V R <br /> ❑ ❑ ❑ �1 <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 ofhW1 rf the waste DISPOSAL MEINOE3: _(TO B_E COMI?LETED BY FORWARD} <br /> impairs the safe and effective operation of and shall usereasonable efforts to promptly notify Desposerofdv to accept thef'- <br />' waste for any reason If Forward's refusal to accept the waste is based on - <br /> weather or pther site conditions, Forward shall notify the Disposer when site <br /> tl 'W Ile e ed to change rr that Forward vol to accept <br /> 11 ❑ SLUDGE <br /> - _ ❑ NON-FRIABLE <br /> FAGILCiY'TIC �- ASBESTOS <br /> KET N13MBE - ti-- ---- = ..-F- -_ - <br /> __- __ �,. C3WOOD <br /> SIGPVRE- <br /> gI" OF AUTHOR D AG ,�_t�� DATT- <br /> a - --„ — _ _ -` ,-► ❑ ASH <br /> f <br /> � ♦ ti C <br /> - ��� t �3d � ❑ OTHER <br />' HEDULING MUST BE MADE PRIOR TO 4:00 P M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> BJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SCHEDULE CALL (209)982-4298 MANIFEST # 14400 <br /> SALES COPY <br />