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WARD --- NON-HA?ARDOUS WASTE MANIFEST <br /> WASTE " ATMENT AND DISPOSAL FACILITY <br /> T ME. / " JOB ACCEPTANCE NO. :5// <br /> GE._ TpFj_., <br /> r _:_x . _ . SO._NALPROTECTNEEQUIPMENT �n=a,�:._ <br /> �0. e [I GLOVES [-I GOGGLES RESPIRATOR ❑HARD HAT <br /> E <br /> _ ASR ., ❑TY-VEK ❑OTHER <br /> C ST )X1 SPECIAL HANDLING PROCEDURES: <br /> • � _Karn �n cry GUsg <br /> PHONE <br /> - • C9/�� 972 Z�zro t, <br /> CONTACT PERSON NONE <br /> SIGNATURE OF AUTHORIZED ENT 7LE DATE <br /> WASTE,TYPE RECEIVING FACILITY <br /> TSOILr01 <br /> DGE <br /> TREATMENT -FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSAL SO9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTIER MANTECA, CALIFORNIA 95336 <br /> • GENERATINGFACILffY (209) 982-4298 PHONE <br /> Z prg .r /e /20Ctd (209) 982- 1009 FAX <br /> K <br /> NAME t... <br /> __TRUCK NUMBER <br /> � <br /> Cab /lifro - <br /> ADDRESS ,L y"z .. G <br /> ZSR herr-i�ess�. �.. <br /> . clrY�smTE ZIP <br /> O n .To 5l, Cft Q-5,132PHONE -�" SEND DUMP TOM DUMP _ TRANSFER <br /> _._.. <br /> SIGNATURE OF AUTHORIZED'AGENT MDRIgBjQffE 7 MgO OFT LAT-BED '� �._VAN '.�—.I RUMS. <br /> FORWARD INC. LANDFILL "B1C1"ARDs. <br /> Forward shall have no obligation to accept the waste if weather or other 0 <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 -I DISPOSE 810 . AERATE ISTOCKM BOTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> waste for any reason. H Forward's refusal to accept the waste is based on ❑-3�IL <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 accept <br /> the waste. _ ❑ SLUDGE <br /> REMARK'S.,,' <br /> .�..m_....r _..-..v.__ ..,_..«_.,z...vu.w_�....,. NON-FRIABLE <br /> _-_ ❑ ASBESTOS <br /> FACgr _TiGCET NUMBER __ ------ <br /> [_1 <br /> --- ❑ WOOD <br /> e__- <br /> - SIGNATURE OF AUTHORIZED AGENT DATE____ <br /> ATE.-__-,-- <br /> J ❑ ASH <br /> ,C C-i ��t e C� <f 1 ❑ 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 MANIFEST # 3071 <br />