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ARD <br /> NON-HA2_. IDOIJS WASTE MANIFEST <br /> FQR L� WASTE TREATMENT AND DISPOSAL FACILITY <br /> I/M JOB ACCEPTANCE NO. 73 <br /> GENERATO REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> CO3-Q ❑GLOiGOGGLES [-I RESPIRATOR LI HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> CITY,STA , ZIP - SPECIAL HANDLING PROCEDURES: <br /> 211 <br /> PHONE <br /> CONTACT PERSON <br /> SIGWURE OF AUTHORIZEDh'G // T� DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> EATMENTSOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILLDISPOS - <br /> • CONST UCTIO ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL F-1 ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERAT(NnFACILITY`,,,, (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAMENOTES: TRUCK N'.1MBER <br /> l/Az ­7ra,�-k,� <br /> ADDR SS _ <br /> • CITY, TE,ZIP <br /> X-f/iN1 fD , l'-f/ �1j-7 ; c�"7 <br /> PHONE END DUMP BOTTOM DUMP TR�NSFER <br /> El El <br /> ;SIGNATURE-T E UTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN CRUMS <br /> /Y�sy ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> r ; <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 ORWARD <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 DISPOSE BIO - AERATE STOCKPILE'. OTHER <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 ❑ SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> • ��e +at'. ❑ SLUDGE <br /> REMARKS _ <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBEF3. <br /> ❑ WOOD <br /> SIGNATURE,OF AUTHORI�ED AGENT DATE <br /> f ❑ ASH <br /> t' �` + I ❑ OTHER j <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 6538 <br /> MANIFEST# <br />