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FORWAI 1# i NON—HAZ� UO S WASTE MANIFEST <br /> �► INCORPORATE <br /> WASTE TREENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. _ ' s I <br /> ENERATOF� _ "` REQUIRED PERSONAL PROTECTIVE EQUIPMENT', _ <br /> Petto�tum C004NIZIly_ NGLOVES [:]GOGGLES ❑RESPIRATOR WHARD HAT <br /> ILING ADDRESS - --- - —' �� TY VEK [:]OTHER <br /> _1903_Ngvy 7 - -- SPECIAL HANDLING PROCEDURES j <br /> GITY,NATE; ZIP - - <br /> ICA 9-52 <br /> r,ONTACT,PERSON <br /> Jay_McHrath <br /> .SJGNATURE OF AUTHORIZED_ AGENT /T_tTLE DATE <br /> WA_ E 7 � - , _ Y-- _ _ Rr=CEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL NON-FUTABLE ASBESTOS FORWARD INC LANDFILL <br /> DISPOSAL SOIL ❑ WOOD' 1 <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336, , <br /> GE ERASING FACILITY_,_,_,_ ' (209) 982-4298 PHONE 1 <br /> 3304 Went Lane,Stod dca6 CA I <br /> (209) 982- 1009 FAX - <br /> 1 <br /> ME TRACTOR LIC # TRUCK NUMBER_ _ TRAILER LIC <br /> • _ �T <br /> . CITY, STATk?I ' _ _ TRAILER LIC # <br /> D DUMP BOTTOM DUMP TRA <br /> gNNSFE <br /> M <br /> • �•r�o - - ❑ ❑ LTJ' <br /> S)GNAT(1F31 O RUTH ED AG T OR DRIVER DATE - VROLL-OFFS} _ FLAT BED VAN _ DRUMS <br /> . .N <br /> fir, ❑ ❑ ❑ ❑ <br /> }—_T��1 Wi4F C��N�:LANDFILL' <br /> LL' �J <br /> :�. ^f <br /> Forward shall have no obligation to accept the waste if weather or other i <br /> ,conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD' O 8E COMPLETED BY FORWARD) 1 <br /> Impairs the safe and effective operation of the Landfill Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DIS SE B[O' AERATE' STOCKF 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 Disposer when site SOIL <br /> • conditions are expected to change such ttt Forward will be able to ecce t <br /> the waste _ ❑ SLUDGE <br /> ` REMARKS' t �, - <br /> - ❑ NON-FRIABLE i <br /> c�ACiLITY"ICK7 NUM ERT' -- '�` _ ASBESTOS <br /> — ----- ,-- --r• - - - ❑ WOOD ' <br /> SIGNATURE OIr AUTMORI_ AGE _ DATA -- <br /> Z --- — ❑ ASH <br /> <�y,&Cc Z <br /> ❑ OTHER <br /> SCHEDULING'MUST BE MADE PRIOR TO 4 000 M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS AREi <br /> SUBJECT TO REFUSAL UPON A RIVAL-O[�G NG DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209)982- 9V GENERATOR COPY <br /> F01(C951 INH)8-08 /'� /� C` O <br /> - _ MANIFEST # C c 4 6 v <br /> i <br />