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TOR VY�1ZLl�- NON-HAZARDOUS WASTE MANIFEST <br /> sC O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. $ 3 <br /> EO " '15" ';"'�" "' w'' REQUIRfrD PERSONAL`PROTECTIVE EQUIPMEMf�_,�; _"j„ <br /> id R�ids�P ]!]GLOVES [:]GOGGLES ❑RESPIRATOR ®HARD HAT <br /> est Pm ESS j-ti c 4, {_ Viz: ❑TY VEK ❑OTHER <br /> 13! A SPECIAL HANDLING PROCEDURES <br /> CI <br /> ON <br /> -20 1 <br /> 1CONTACT=RERSON <br /> Y+I <br /> SIG QF AuTHORIZED'AGENT=JeTITLE DA Er; r <br /> WASTELTYPE= E�'� M s �` _ -` _ _ a, RECEIVING FACIUTY� _`_ n._ ,` �_ _ . ' <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • FL] DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY 1 (209) 982-4298 PHONE <br /> 2191 Navy Drrw STOCKMIN (209) 982- 1009 FAX <br /> AME TRACTOR LIC # TRUCK NUMBER <br /> �� ✓ y t s <br /> ADDR E SSY` ,f,+`L✓ t f'L r TRAILER LIC <br /> . CITY,STATE,ZIP TRAILER LIC # <br /> r <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> - ❑l ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> t � <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impar the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPOSE BIO JAERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the f <br /> waste for any reason If Forwards refusal to accept the waste is based on t-=1 SOIL <br /> weather or other site conditions Forward shall notify the Disposer when site L! <br /> conditions are expected to change such that Forward will be able to accept ' <br /> the waste ❑ SLUDGE <br /> REMARKS NON-FRIABLE <br /> � ❑ <br /> FACILITY TIC ITN BEpt" ASBESTOS <br /> - ❑ WOOD _ <br /> "'NATU ,OF RILDA NT/ TES ❑ <br /> � ASH <br /> �� / / ! ❑ OTHER <br /> � � I <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209) 982-4298 # C 714999 <br /> F01(C9511NH)6 96 SALES COPY MANIFEST <br />