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_ l <br /> NON HAZARDOUS WASTE MANIFEST <br /> rh <br /> _ <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> WA <br /> - <br /> ° JOR ACCEPTANCE N0. _ -� �. " �„ ' <br /> REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ <br /> []GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> THRIFTY01L,CG�PANY pTY-vEK [-]OTHER <br /> xL <br /> iwj _ Ca ADwn zLAKEM0i7 BLVD - <br /> l <br /> CITY,STATL� EY ��+ ` � - SPECIAL HANDLING PROCEDURES <br /> . <br /> PHONE , 310-923-981 - <br /> ICONTACT PERSON ' <br /> RAYMORD FRTSGit''L'.;.HIT <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> WASTE T RECEIVING FACILITY ' <br /> ❑ SLUDGE <br /> REATM&ISOIL ElNON-FRIABLEASBESTOS FORWARD INC LANDFILL <br /> • <br /> fiISPO4SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ONSTIJCTjON SOIL ❑ ASH <br /> •. ,� 0�,. ❑ OTHER MANTECA, CALIFORNIA 96336 <br /> I DEBAT Ift OIC, COMPM (209) 982-4298 PHON�- <br /> 44-1 .A 11710 (209) 982- 1009 FAX <br /> Jt0C0KTON ,".A <br /> NAME NOTES TRUCK NUMBER <br /> INC NOTES <br /> -3 4,L5 7 <br /> ADDRESS C <br /> ly <br /> CITY, STATI�3CIP ^"IL H RD UuLr7Lf <br /> . <br /> I VrrTINDSOR, SCA 95,192 _ <br /> PHONE 707-838-1407END DUMP BOTTOM DUMP TRANSFER _ <br /> SIGNATURE OF AUTHORIZE AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS-_ft <br /> 0 13 El <br /> FORWARD INC. LANDFILL CUBIC YARDS _ <br /> Forward shall have no obligation to accept the waste it weather or other <br /> I conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD), <br /> unpairs the safe and effective operation of the Landfill Forward shall use - *x <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE` 1310 AERATE OTHq � <br /> west• for any reason if Forwards refusal to accept the waste is based on <br /> w9,01w or other site conditions,Forward shall notify the Disposer when site L <br /> • ICA�xzola are expected to change such that Forward will be able to accept <br /> e"w"Ift ❑ S UDGE <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> TKKET NUMBER <br /> ❑ WOOD <br /> AiT V40RIZE Eft, DATE <br /> �_ - ❑ ASH <br />' - �� ❑ OTHER <br /> •` ✓ tgtlaDE PRIOR TO 4 <br /> +I '00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> tlFf� ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILLTHE DAY BEFORE <br /> MANIFEST # C, 9272 <br /> -r" ¢ GENERATOR COPY <br />