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NON-HAZARDOUS WASTE MANIFEST»._ a' <br /> ~WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. <br /> 4. 5" sr .n y„z <br /> _ N T Fi ” „ ' ,` , ,"r <br /> t4` -" ' '`; - REQUIRED PERSOt4AL PROTECTIVE EQUIPMENT ` <br /> � ❑GLOVES [:]GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> - � <br /> ❑TY-VEK [:]OTHER <br /> CITY, `TAT l ZI SPECIAL HANDLING PROCEDURES <br /> 90NTA T P RSQN <br /> u <br /> y§IGNATYRE,O -AQTHORIZED AirijENT / TITLE DATE <br /> RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ <br /> CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> Gg►4l�RATING fAQILITYp, } (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NOTES TRIeICK N4MBRru¢ <br /> - C STATE 4IP ' y. <br /> P,NONE END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ ❑ <br /> §!GWAI_IBi9;QPAgENT,QB P-RIVgR :u DATE „ ;, ROLL-OFFS) FLAT-BED. VAN r DRUMS <br /> El 1:1 El El <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL , <br /> Forward shall have no obligation to accept the waste if weather or other 1 10 <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD)' <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 Forwards refusal to accept the waste is based on SOIL <br /> weather or other site conditions Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> ❑ SLUDGE: <br /> ~ 1} 'illi2lJ!�``S' .esm"ski, "ed, 3��*�'a��'7:?t" '" r3 ;3;,��i+ig% � <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> ❑ wooD <br /> 1GNATURE QF AYTHORIZRD AGENT DATE <br /> ❑ ASH <br /> ,'� �') �� ❑ OTHER <br /> SCH L! UST BE MADE PRIOR TO 4 OU P M 111E DAY PRIOR 10 EXPEC I ED AHWVAL r ANY UN,C.f IED11Lkl. LOADS ABE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCI IEDUI ED Willi THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209)982-4298 MANIFEST # 4 3 9 3 9 <br /> GENEFiAfUH('UI'Y <br />