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,N�, WARD • NON-HAZARDOUS WASTE MANIFEST <br /> Now WASTE =ATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. F76// -. 52/ <br /> _ GENE TOH a; . 3n' y REQUE19P MSONAL.PROTECTIVEEQUIPMENT - <br /> []GLOVESGOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS. T <br /> CITY []OTHER <br /> v i30X 52 <br /> CITY,STATE,ZIP , SPECIAL HANDLING PROCEDURES: <br /> • <br /> PHONE �Qmo/f � Cp cj[�5 .,n, .,_ <br /> (-9lq) 97Z=2z1Z NONE <br /> CONTACT PERSON <br /> Grandvn .t arrf's <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> •• <br /> WASTE TYPE RECEIVING FACILITY <br /> • - - ,- .,. <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL <br /> ❑ CONSTRUCTION SOIL p AS ASH OD 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GEp&RATING FACILITYr . (209) 982-4298 PHONE <br /> _ Z3Dp <br /> 151Kt m I le 200d (209) 982- 1009 FAX <br /> K+ar1 Cts <br /> NAME NOTES TRUCK NUMBER <br /> ADDRESS. <br /> • CITY STATE, ZIP , <br /> 2n SDts,e CA, S1?oZ <br /> PHONEEND DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AVTI IORIZED/{G_ ENT OR DRIVER < DATE �'" RO_LL OFF1S FLAT-BED___- <br /> / , ' /i �s /, ❑ ❑ ❑ ❑ <br /> CUBIC YARDS. <br /> FORWARD INC. LANDFILL 7 <br /> Forward shall have no obligation to accept the waste if weather or other / CJ <br /> conditions impair the safe and effective disposal of the waste or if the waste ,.DISPOSAL METHOD: (TO BE COMPLETED BY FORVYAFID) <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 _ 10 - _AERATE 'QRiER <br /> waste for any reason. If Forward's refusal to accept the waste is based <br /> weather or other site conditions,Forward shall notify the Disposer when silo- ❑ SOIL <br /> conditions are expected to charge such that Forward will be able to accept <br /> the-w aste. ❑ SLUDGE <br /> ` REMARKS> r^ <br /> ❑ NON-FRUIBLE <br /> ASBESTOS <br /> FACIUTy1%Kgr NJq�ER <br /> p ❑ WOOD <br /> in <br /> — , /- , (y/ ❑ ASH <br /> v / ❑ OTHER <br /> 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 3 0 6^ <br /> r, MANIFEST # a <br />