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NON-HAZARDOUS WASTE MANIFEST <br /> .t P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB-ACCEPTANCE N0. 1983300 = - <br /> ,=EM13ATO r �� .�, •x __ ,� =r , <br /> �L y r yREQUIRED PERSONAL PROTECTIVE EQUIPMENTMMANILINw <br /> �Hsnd� _ GLOVES [:I GOGGLES ❑RESPIRATOR ®HARD HAT <br /> G DDRESS' TV- 7,.. :; .. -�'. . ` :� '� ri � "s '� " ❑TY-VEK OTHER <br /> 521 wed Ame abed <br /> - SPECIAL HANDLING PROCEDURES <br />' . �. .___ -- -.-r- V - <br /> SIGNAT�IRE OF AUT�IORIZED'AGENT%7TTLE 4 DATE <br /> -W-`- �z - <br /> RECEIVING FACILITY <br /> 5 <br /> .ML riy Y <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> j] DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br />' 2191 Na'vyrinve � '� (209) 982- 1009 FAX <br />' AME , n Ti'tA C V,ny 2-/V TRACTOR LIC # qAc7j 2 6 f TRUCK NUMBER <br /> ADDRESS L o/ ; S Y,k�,_,,, Ri, TRAILER LIC # y)D t 3(?7 <br /> • CITY, STATE, ZIP {, -, �# , a (j3� TRAILER LIC # <br /> _ <br /> PHONE J/GJtuJ',ll <br /> cA J?or l/�r'� u - (JJ1 END DUMP BOTTOM DUMP TRANSFER <br /> �'V ►i 1 f k✓) 1 biJ' JIE <br /> SIGNATURE O AUTHORIZED AGENT OR DRIVER DATE ROLLfbFF(S) FLAT-BED❑ VAN DRUMS <br /> ISL%—o-c i ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> condstions impair the safe and effective disposal of the waste or if the waste <br /> Impairs the safe and effective operation of the Landfill Forward shall use DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> reasonable efforts to promptly notify Disposer of Its Inability to accept the DISPOSE SIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste Is based on <br /> weather or other site conditions Forward shall notify the Ossposer when site 0_50-11- <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> � REMARKS El SLUDGE 71 <br /> ' ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE El WOOD <br /> ❑ ASH { <br /> �' !' '� / ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> fSUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SCHEDULE CALL (209) 982-4298 <br /> FO�(CPSI INH)6 96 SALES COPY MANIFEST # C <br /> 72J? 38 <br />