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WARDNW NON-HA2_�iDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> /NC. JOB ACCEPTANCE NO. I r- <br /> 5� <br /> GENERATOR _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Y,)F};LxT [J GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILIN9 ADDRESS ❑TY-VEK ❑OTHER <br /> ,I POO /P— ,/V, e: Te)p ,� <br /> CITY STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> F40NE <br /> CONTACT PERSON <br /> SIGNATURE OF/AUAT,HOnR�IZED A SET TITLE _/ DATE <br /> n G7l�T�XX �f-fll�ntr� <br /> • WA TYPE - RECEIVING FACILITY <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL , <br /> • . DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • ,GENERATING FACILITY (209) 982_4298 PHONE <br /> (209) 982- 1009 FAX <br /> NOTES: <br /> n TRUCK'NlJt BER <br /> RE S, `< <br /> . • CITY S TE;' ' <br /> {JfN 4IP <br /> N — —_— <br /> PHO E ` END DUMP BOTTOM DUMP TR`.NSFER <br /> z © 5 33 yJJor� � ❑ ❑ ❑ <br /> �F bW ,oi7/, GENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN C SUMS <br /> i ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other I <br /> conditions impair the safe and effective disposal of the waste or if ORWARD the waste DISPOSAL METHOD: (TO BE COMPLETED BY <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 'N DISPOSE BIO AERATE STOCKPL= 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 /> TOEtv1ARKS "'" <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE.OF AUTHORIZEb AGENT DATE <br /> [_, ❑ ASH <br /> I ( '❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:60 O P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONG6ING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE D, Y BEFORE. <br /> TO SCHEDULE CALL (209) 982-4298 <br /> MANIFEST # c p 5 i q <br />