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WARD ' 4,,.•,.-, NON-HA'�RDOUS WASTE MANIFEST <br /> .. WASTE Thv!ATMENT AND DISPOSAL FACILITY <br /> .18R <br /> E. f JOB ACCEPTANCE Ill 5l/ 621 " <br /> GEN BATOR — , r r REQUIREDPERSONAL PROTECTIVE EQUIPMENT _. <br /> 2 ( --r-�� GLOVEQS GOGGLES ❑RESPIRATOR [I HARD HAT <br /> 0G ADDLC' � <br /> ❑ <br /> MPJ NRESS. ; _ . „ -" [_]TY-VEK ❑OTHER <br /> . BOX a <br /> DP ,; SPECIAL HANDLING PROCEDURES: <br /> CfTY STi1TE :50u�" `- s �F <br /> n I��rnor�C� a�5'83 : <br /> PHONE <br /> NONE <br /> CONTACT PERSON _rt1 r. _ 4._� Y• <br /> SIGNATURE OF AUTHORIZED A&ENT!TITLE 4 DATE <br /> WASTE TYPE ". -.._ _ ___. _ _ . .' I 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 /> • <br /> GENERATING FACILITY_ <br /> (2Q9) 982-4298 PHONE <br /> OaC �Tl c bell (209) 982- 1009 FAX <br /> 11300 E Ight m I le (Loud <br /> 5tac.Kf-dn, CA <br /> NAME _ . . NOTES. . m.TRUCK NUMBER <br /> >P11_2 !/7/ 7U <br /> ADDRESS „�. <br /> 253D Ber sem- Rc7� , �SZ7 �,�'C �T <br /> - . CITY,STATE•23 <br /> n JOse, G� ASS 3z <br /> PHONE _ v END DSP BOTTOM DUMP TRANSFER <br /> _ C4D9} 7ZG oi�� �" ❑ ❑ <br /> � .� _ <br /> SIGNATURE OF AUTHORIZEDeAGENT QR DRIVER DATE ROLA-0FF}S) . FLAT BED� y VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL C"81cvAR s <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 FORVARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use i .w - <br /> reasonable efforts to promptly ratify Disposer of its inability to accept the a.„" ; aS?QSE &p--- AERATE -- <br /> waste for any reason. If Forward's refusal to accept the waste is based on O '-- <br /> weather or other site conditions,Forward shall notify the Disposer when site <br /> ' conditions are expected to change such that Forward will be able to acce <br /> the waste. ❑ SLUDGE <br /> ` REMARKS_"....'i"�-r "" '`z r ;n'_ <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILTY'VCKETNUMBER,, <br /> ❑ WOOD <br /> SIG t IJRE O1K, ORIZED AGENT W. DATE ❑ <br /> ASH <br /> 'k ❑ OTHER <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 ADING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE <br /> DAY BEFORE. <br /> _ TO SCHEDULE CALL(209)962-429$ MANIFEST # 3061 <br />