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NON-HAZAR US WASTE MANIFEST . <br /> RD • WASTE TREATIW AND DISPOSAL FACILITY <br /> �- JOB ACCEPTANCE N0. <br /> fflR, +ttant LE_gM9EW_1PMEty "- <br /> n) TOirr ms.Ot'N' p6�C.Td.,�. O L6 %� 'N^ GLOVES []GOGGLES [-]RESPIRATOR 0HAFIgHAT <br /> G,ADDRE TY-VEK ]OTHER <br /> SI S S R �'ptC- 'A`« SPECWL HANDLING PROCEDURES: <br /> .�STAT�ZI <br /> • S�c,cKzo� �" Sao 7 <br /> a09 �-7y- oso <br /> I NTACF PERSO <br /> CAR,bru 1-k=IS� REO, �ORIZE AG ! k, <br /> " p SLUDGE FORWARD INC. LANDFILL <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS <br /> • DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL ❑ ASH <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERAT�NGFncI .� = �� � � ,. - (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> E _ NOTES: TRUCK NUMBER <br /> ���t2 TtiLC OL/ <br /> ADDRESS <br /> 5a-? L D <br /> • CITY,STATE,ZIP <br /> • PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ' a��1-C/35- OCQ O ❑ ❑ <br /> SIGNATURE OF AUTHORIZED'AGENT OR DRIVER DATE _ ROLL-OFF(S) " FIAT--BED VAN DRUMS <br /> FORWARD INC. LANDFILL <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 - - DISPOSE BIO AERATE STOCKPILE- OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the - - <br /> waste for any reason. If Forward's refusal to accept the waste is based on <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 /> REMARKS ,t - - NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY.TICKET NUMBER, ,w <br /> ❑ WOOD <br /> SIGN O AUT ORIZEDAGENT <br /> ❑ ASH <br /> fT � ❑ OTHER <br /> SCHEDULING MUST BE MADE I TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL• ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON AR AL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST # 28575 <br />