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WARD + ' µ" NON-HA WASTE <br /> WASTE MANIFEST <br /> WASTE mweATMENT AND DISPOSAL FACILITY <br /> AVEA E JOB ACCEPTANCE Nb: 5// —52 <br /> GENE TOFF.Pay REOUIRED_PERSONAL PROTECTIVE EQUIPMENT �u/t ✓ � []GLOVES [:]GOGGLES []RESPIRATOR []HARD HAT <br /> ❑TY-VEK ❑OTHER <br /> MAIGNG ADDRESS <br /> - - SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE•ZJP, <br /> • Win_ C�Gtmon <br /> - <br /> PHTE C. <br /> w - . <br /> �IGJ 451 Z- ZyZ�� <br /> CONTACT PERSON N U N e <br /> ora r-don Harris <br /> SIGNATURE OF AUTHORIZED AGENT /TITLE DATE <br /> WASTE TYPE - _:: RECEIVING FACILITY_ ,,.i w __,__: _._ •w <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • GrDISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> •• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> P�kC i�fc ) ! fir✓ �ocrd (209) 982- 1009 FAX <br /> 20o E Igrrr rn <br /> y k <br /> NAME _ NOTES_ + _w- --TRUCK NUMBER - <br /> ro <br /> ADDRESS.; <br /> ZS,30 13° rr��s Rd: 527 �g/r?s <br /> . CITY,STATE ZIP _ <br /> San Josue Lr� _ �3z 1 <br /> PHONE_.,_ _„ _ END DUAaP �BOTTO❑M DUMP TRANSFER <br /> SIG __, .- OF AUTHORIZE _._E OR,DRIVER a, DATE ROLL 0Ff1S)_ TFLA BEDS VANS` DR s <br /> r, ❑ ❑ ❑ ❑ <br /> ' FORWARD INC. LANDFILL cuslc YARos <br /> _._ - <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'rf the waste DISPOSAL M BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use ^ <br /> 10 <br /> reasonable efforts to promptly notify Disposer of its inability to accept the 4. AERATE_ ?ORiER <br /> ..-..•.,..a-..rs.. <br /> waste for any reason. If Forward's refusal to accept the waste is based on SOIL <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 ac <br /> • the waste. ❑ SLUDGE <br /> ❑ NON-FRIABLE <br /> FACILITY & NU 7z <br /> ETER �'t --'- ASBESTOS <br /> ❑ WOOD <br /> SIG <br /> jOF� UTHO AG . _ }. DAT(lEJ/j"/1 <br /> ❑ ASH - <br /> U <br /> SCHEDULING MUST BE MADE PRIOR TO 4;00)4'.M. THE DAY,-PRIO840 EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ON2MG DAILY DELIVERMS MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (209)982-4298 3060 <br /> - MANIFEST # <br />