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NON,,HAZP'DOUS WASTE MANIFEST <br /> �`T Y <br /> RD <br /> WASTE TRENT AND DISPOSAL FACILITY <br /> f Y <br /> AMC. <br /> JOE ACCEPTANCE t�Q. V <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> C��tUPC IJEVe-1 Pnr=.AjT (24151GLOVES ❑GOGGLES El RESPIRATOR ❑HARD HAT <br /> r MAILING ADDRESS []TY-VEK []OTHER <br /> r4ozcj-+ LAI-" FSE . <br /> CITY,STATE, ZIP SPECIAL HANDLING PROCEDURES: <br /> sali <br /> PHONE <br /> =k� a(f>1 -25 <br /> CONTACT ER50N �j i uN 41996 <br /> 4 SIGNATURE OF AUTHORIZED AGENT /TITLE DATE i v1RQME <br /> N s ot'-S <br /> sj WASTE TYPE RECEIVING FACILITY <br /> !,J ❑ SLUDGE la, h <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> 'DISPOSAL SOIL ❑ wooD 91999 i UTH AUSTIN ROAD <br /> i <br /> CONSTRUCTION SOIL ❑ ASH I� <br /> El MANTECA, CALIFORNIA 95336 <br />` GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> NAME NOTES:! TRUCK NUMBER <br /> ,.'.'ADDRESS <br /> CITY,STATE,ZIP <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> �;• , ��.i -�cry ❑ . ❑ <br /> SIGNATURE OF-ALJTHORIZE P, GENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> r El 11 EJ 13 13 <br /> - <br /> II k <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> 17 conditions impair the safe and effective disposar of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br /> =f 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 E] 501E !1 <br />'f E weather or other site conditions, Forward shall notify the Disposer when site <br />,! 'f conditions are expected to change such that Forward will be able to accept <br /> i the waste. ❑ SLUDGE <br /> REMARKS <br />} .rNON-FRIABLE F <br /> E) ASBESTOS <br /> FACILITY TICKET NUMBER ^ i <br /> ❑ WOOD ' <br /> k SIGNATURE OF AUTHORIZED AGENT DATE <br /> 1 <br /> ❑ ASH <br />' ❑ OTHER ! <br /> I <br /> SCHEDULING V.UST BE C.`ADE PRIOR TO 4:00 P.V- THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON'ARRIVAL.ONGOING DAILY DELIVERIES OUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (209) 9C2-429E MANIFEST * 4 J 7 6 4 <br /> CENEE RA.TCG:;C <br />