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NON-HAZPDDOUS WASTE MANIFEST a <br /> WASTE TR6,.hENT AND DISPOSAL FACILITY > <br /> INC. JOB ACCEPTANCE NO. la s� -si5y7� <br /> GENERATOR 0-'6 ' <br /> 1 RE(?UIREb PERSONAL PROTECTIVE EQUIPMENT <br /> MAC �iJ(� Q�p�f'y yl` - Lp , JZ GLOVES ❑{IGOGGLES ❑RESPIRATOR [jHARD HAT <br /> , G l�DDRESS i ❑TY-VEK ❑OTHER <br /> jAp <br /> CITY,STATE,ZIP ! SPECIAL HANDLING PROCEDURES: <br /> �s ��r <br /> v. Ir <br />{ E CONTAC PERSON 41996 ; <br /> r. <br /> r <br /> SIGNATURE OF AUTHORIZED AGENr'T /TITLE DATE MNP 1cSH <br /> l WASTE TYPE RECEIVING FACILITY <br /> z� <br /> .i <br /> �� ❑ SLUDGE f <br /> 1 ❑ TREATMENT SOIL E] NON-FRIABLEASBESTOS FORWARD INC. LANDFILL <br /> p'DISPOSAL SOIL ❑ WOOD gggg SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> I, (209) 982-1009 FAX <br /> NAME NOTES:. ° TRUCK NUMBER <br /> If V <br /> �'ADDRESS <br /> CITY,STATE,ZIP <br /> I :.r. F 2? y <br /> PHONE [ END DOMP BOTTOM DUMP TRANSFER <br /> V ❑;? ❑ L!J <br /> SIGNATURE O.,'AUTHORIZED�AG/ENT OR DRIVER DATE ROLL-OFFS} FLAT-BED VAN D6UMS <br /> / ❑ i, ❑ <br /> 14 <br /> FORWARD INC. LANDFILL cuBlc YARDS <br /> Forward shall have no obligation to accept the waste if weather or other �� f <br /> y; conditions impair the sate and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br /> ,J impairs the sate 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 /> �I 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 ,r <br /> thewaste. ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD. <br /> li <br /> F� SIGNATURE OF AUTHORIZED AGENT - DATE <br /> ❑ ASH !. <br /> ❑ OTHER k <br /> SCHEDULING V.U5T BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL s ANY UNSCHEDULED LOADS ARE <br /> SUEJECT TO REFUSAL UPON ARRIVAL. OI:GOING DAILY DELIVERIES MUST BE SCHEDULED V6ITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (244) 982-4298 MANIFEST 4- 3768 <br />