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WARD �"" } NON-HP'ARDOUS WASTE MANIFEST <br /> WASTE Trr-cATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. $2 / <br /> - . <br /> GENEPITOR,/ - u : , REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> fL�GT/G_ f.3eI1, _ -µ ❑GLOVES [:]GOGGLES []RESPIRATOR ❑HARDHAT <br /> MAILING ADDRESS ❑ <br /> P V 3OX .5Q`7 .7 ._. _ _• TY-VEK —]OTHER <br /> CITY STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> Y. <br /> i2amo>1,sCia _gy_15E3 .: <br /> PHONE <br /> (G (C <br /> CONTACT-PERSON N /V <br /> 6'r'ctrdon t+cc (r rs <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • Q' SOIL El <br /> CONSTRUCTION <br /> ONST + 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUU CTION SOIL r_1 ASH <br /> _ ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> yoo E IOht m I'le �cx�d (209) 982- 1009 FAX <br /> NAME ri;�;• '- ,. NOTES - TRUCK NUMBER <br /> ADDRESS <br /> Z550 beer ess� <br /> • CITY, STATE,ZIP „. 27 <br /> SGn Dse aA Q45r32 <br /> PHO�0 � `END DUMP <, "' BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT,ORDRIVER DATE u ROLL-0FF(S) BED '� ;:VANDRUMS ,_ <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuelcRos _ -,_ ,. <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 f DISPOSE BIO AERATE S=10LE OTHER <br /> +.. waste for any reason. If Forward's refusal to accept the waste is based ort. 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 `ce_L <br /> • the waste. ❑ SLUDGE <br /> ` REMARKS._ <br /> •• NON-FRIABLE <br /> FACILITYjTICKET NUMB,€R „ _ Y ❑ ASBESTOS <br /> ❑ WOOD <br /> SIGNO(TURF�CSJA ORIZED ENT DATE <br /> _..: E] ASH <br /> * '.�' �� ❑ 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.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (209)982-4298 3063 <br /> MANIFEST # <br />