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WARD <br /> NON-HAZARDOUS WASTE MANIFEST <br /> FORWASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. <br /> JOB ACCEPTANCE NO. - - <br /> GENERATOR _ _ _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ��~Qry _ - ❑GLOVES ❑GOGGLES ❑RESPIRATOR [ HARD NAT <br /> ' MAI NGD DRES _--_ -- - --- - -- — ❑TY VEK ❑OTHER I <br /> P.O.-BOX 29 _ -- -- __-- ----_ - - - - SPECIAL HANDLING PROCEDURES <br /> CITY,STATEZIP <br /> PHO EN ' _Cly .-95366 <br /> - ----- — - --- - - -- - - ------- <br /> 209)_466-2884 --------- <br /> CO ACT PERSON - -- - - -- - <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • © DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> Nelson Ready <br /> 22700 S ay 99 .Concrete Plant (209YO82- 1009 FAX <br /> ftiipon, CA 953 6 <br /> NAME _ _ _ NOTES _ TRUCK NUMBER_ N <br /> ADDRESS <br /> -Trucking 60 <br /> -1217 S. 7th Street -- - ----- ---- - - - q �3�3 7 <br /> . CITY,STATE,ZIP <br /> Modesto, CA -95351 <br /> PHONE _ - - w - _- END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-4100 - --- - - - - - - _ � ❑ — - ---- -❑- - -SIGNATURE OF AUTHORIZED AGE OR_DRIVER - DATE ROLL-OFFIISI _FLAT-BE_ID VAN DRUMS <br /> 8-11-99 ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other / <br /> conditions impair 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 <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE 1310 - 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 Disposer when site SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> ` the waste_ - - -- - - - - -- _- ❑ SLUDGE <br /> . REMARKS ❑ NON-FRIABLE <br /> ASBESTOS Fi n <br /> FACILITY TICKET NUMBER j pi <br /> --- _ -- _ _ . ___ __�-. _ _ _ -- --_ ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT Y DATE_ µ [3 ASH <br /> i <br /> �� ❑ OTWER <br /> r R <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 49696 <br /> GENERATOR COPY MANIFEST# <br />