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<br /> NON-HA US,WASTE MANIFEST
<br /> =WASTE TREATMENT AND DISPOSAL FACILITY,
<br /> IN k
<br /> JOB ACCEPUNCEJ�NO M rl �
<br /> _R ..r..-✓t - _ - �l S'
<br /> -VAC-rr F amu-' n
<br /> REQUIRED PEBSbNAL PROTECTIVE LQI PMENT�•: ,a
<br /> GENERATOR :-w �", x .
<br /> c� � � �tJ ❑GLOVES GOGGLES []RESPIRATOR HARD HAT p�
<br /> MAILING ADI]R S ' § °�''~ ❑TY-VEK ❑OTHER
<br /> _��� (05 "� SPECIAL HANDLING PROCEDURES.
<br /> CiTY,S7A1 ZIPP . y �e
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<br /> 15 2-1?
<br /> I PHONES° $~ �s
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<br /> CONTACTyPERSO f
<br /> SIGNATURE OF AUTHORIZED'AGENT lTITLE DATE
<br /> ,I h_U I_
<br /> { WASTE TYPE RECEIVING F,4CILITY ,
<br /> ❑ SLUDGE
<br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC- LANDFILL
<br /> p DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD
<br /> ❑ CONSTRUCTION SOIL ❑ ASH; J
<br /> . ❑ OTHER MANTECA, CALIFORNIA 95336 i
<br /> '4
<br /> GENERATING FACILITY � ,0,!V� � K� & = (209), 982-4298 PHONE F;
<br /> (209) 982-- 1009 FAX_ "
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<br /> ,NAME ;
<br /> ADDRESS.F �
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<br /> /2/2 1 � , 7
<br /> PF
<br /> ON
<br /> END DUMP'� �BOTfOM DUMP " TRANSFER
<br /> _.sig-=adiR4RfM]{F ->�.lm�te'i�3"SL - $vti2uaA�' 4L',adKAYamp! -
<br /> C El El
<br /> '71
<br /> SIGNATUR OF ;4UTI 10RiZED AGENT,OR DRIVER' DATE 's ROLL OFF S FLAT_ -BEQ •- r` VAIV= 1]RUM_5 .
<br /> ! �/ , �❑ ❑ ❑
<br /> CUBIC¢YARDSr ZaIr
<br /> FORWARD INC. LANDFILL '
<br /> Forward shall have no obligation to accept the waste if weather or other �� 1[�r� 7.
<br /> conditions impair the safe and effective disposal:of the waste or if the waste' DISPOSAL METI IODw (TO;BE COMPLETEQ BY..,FORWARD)
<br /> impairs the safe and effective operation of the Landfill? Forward shall. use r � � '� ,n' � .` rf�}h
<br /> x DISPO E BIO AERATE STOCKPILE OTHEff
<br /> reasonable efforts to promptly notify Disposer of its inability to accept the - _�;�
<br /> L: waste for any reason. If Forward's refusal to accept the waste is based on S
<br /> weather or other.site conditions,Forward shall notify the Disposec,when si
<br /> conditions are expected to change such that Forward will be able to accep
<br /> the waste. ` ❑ SLUDGEEj
<br /> i
<br /> NON-FRIABLE
<br /> F
<br /> ASBESTOS"
<br /> FAC1UICKE MBER
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<br /> u p ❑ WOOD
<br /> r S1��ATUf3 OORIZED N,7 DATE
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<br /> -SCHEDULING MUST BE AMA R,, 4'.0O,::P.M ,THE DAY PRIORI'p EXPECTEWARRIVAL*! ANY UNSCHEDULED'LOADS7;`ARE
<br /> SUBJECT'70 REFUSAL UPON ARRIVAL s NGOING DAILY.DEIJVERIES�AIIUS�BE SCH DtJLED�WITHAE I ANDFILL THE DAY.BEFORE
<br /> '+ - A r p. -s� a' r -M �.� - a �'�$ a .✓.' -F an,-, to �;� t _`e c �',,� Mme.!" `-��V��i �5-;.-�� .��'!.�'fK
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