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WARD NON-HAL_3DOUS WASTE-MANIFEST <br /> FORWASTE TREATMENT AND DISPOSAL FACILITY <br /> /NC• JOB ACCEPTANCE N0. <br /> GENERATOR 7'`� ` '--y- REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> LLPP7 I �F�N I R'lN�e ❑GLOVES []GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING.ADD _E$S / ❑TY-VEK ❑OTHER <br /> 11A100 �((TO/7 �cr` SPECIAL HANDLING PROCEDURES: <br /> CITY,STAT oz), -/577 <br /> • <br /> PHONE'o <br /> G <br /> CONTACT PERSON <br /> SIGNATURE OF AUTHORIZED AGEN7j(T� c_a/ PATE <br /> E+TYPE RECEIVING FACILITY' „ <br /> ❑ SLUDGE <br /> El TREATMENTSOIL - ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL" <br /> • <br /> i2 -DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> El CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> �GENERATINGFACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME i/— NOTES: _.;. .. <br /> V,� <br /> 'ADDRESS <br /> • CITY,WTE,ZIP n <br /> / <br /> PHONE ER <br /> �. , ,.. � END BOTTOM DUMP TF'aNSFER <br /> 'uIGNAT• ; AUTHORIZED AGENT OR,DR)VER DATE ROLL-OFF(S) FLAT-BED VAN :RUMS <br /> El E <br /> 4 <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other 5 <br /> conditions impair the safe and effective disposal of the waste or if the waste T DISPOSAL METHOD: <br /> impairs the. safe and effective operation of the Landfill. Forward shall use ( O BE COMPLETED BY °ORWARD) <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPII 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 /> the waste. ❑ SLUDGE <br /> g ❑ NON-FRIABLE <br /> ASBESTOS <br /> F1WOOD <br /> ZD;AGENt I DATE <br /> /( El ASH <br /> J 'Ali, <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIO 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 /> 'O SCHEDULE CALL (209)982-4298 C 1 <br /> MANIFEST # o C ^J '+ <br />