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WARD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL PACILITY <br /> INC. JOB ACCEPTANCE NO. <br /> ERATOR ,r 5• s_ • -40� ' s, �s� r x* ;�&:�a 2 gn, REQUIRED PERSONAL PROTECTIVE EQUIPMENT Y�`oa <br /> �W, p !V/��/�� _ �/j� f LOVES [:]GOGGLES ❑RESPIRATOR E2 ARD HAT <br /> LIN ADDRESS �!/t t. sir Gnry r�� -,x� ate; e� r74 �� �� s � TY-VEK OTHER <br /> , - ❑ ❑ <br /> CIT ,SATE "ZIP a��- / z Z - c :�its» " "" SPECIAL HANDLING PROCEDURES <br /> 0 , ` ` <br /> 4r <br /> PHONE °,' Y". -_ �^' 'n` "x 3b .x7i� /, ;•. `/ ' ;r°r,),,ray,'. <br /> t CONTAC PEpSONa <br /> SIGNAtUREff OF U ED AMNT,,/Yffiff"�� - Y�J DkCAT� <br />' WASTE TY '�qi ti 4 g + ^ .^ a n i ? .w `� ` �' <br /> l �'`f' • < �; r ;�.�; .,�� � ;- �'�, s .�s� R CEIVWG <br /> I <br /> ❑ SLUDGE <br /> TREATMENT SOIL [] NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br />' ❑ DISPOSAL ❑ 9999 SOUTH AUSTIN ROAD <br /> ElCONSTRUCTIOTIO N SOIL ❑ ASH ASH <br /> ❑ OTHER - MANTECA, CALIFORNIA 95336 <br />' GENERATING FACILITY,�4, �, �f €� s �,��,� � $ (209) 982-4298 PHONE <br /> �14 Gt Li e, (209) 982- 1009 FAX <br /> a , i o. r L t�ri .fi Sra r{ "tY"1` ,# caTf at4t'Wd-y "StX kr 4yh a <br /> NOTES ; , xWMRJ <br /> L / `ADDRESS C�"IVUMy <br /> Zzz2~ <br />• CITY,STATE, ZIP <br /> PHONS� �r ;> �0 M ;�' '�t., � ; „ ° '. � r' `� END DUMB "' +E f BO�T,0 ;,'&101 4NI <br /> El <br /> SI ATU EO A 614IiED Gi:l�f'6h �FtiV0, D#EWE . `,h' OFA S + 1 7 <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuBIG'YAR <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste .DIS OSAL METHOD = �''(TO SE°�OMPLI31riPC�IW F�C�)> <br /> impairs the safe and effective operation of the Landfill Forward shall use t, _. �' � <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ', ' ' `� DISPOSE q1310,k, AEOTIt $ R rbTN9,14t s <br /> waste for any reason If Forwards refusal to accept the waste is based on [SOIL <br /> I weather or other site conditions,Forward shall notify the Disposer wh'n site <br /> conditions are expected to change such that Forward will be able to f ecept <br /> the waste ❑ SLUDGE <br />` REMARKS <br /> NON-FRIABLE <br /> OAClLlT TICKET NUMBER _ _ r` ' r" E '` ! ❑ ASBESTOS <br /> i�p q,yr�' Y'"tir,C tt1 l�lk e�hn ,y`a i ".aft, tl rker.'a <br />� ❑ WOOD � <br /> SIGNATURE OF AUTHORIZED AGENT `• -F�r bATIv'W.;�r'� ,f ' <br /> " °rr " ' n r w H>1�a.M�i <br /> tt'' ? f ❑ ASH <br /> Y l I [ rk� ❑ OTHER <br /> 3CNE1 LING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br />;UBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> rO SCHEDULE CALL (209) 982-4298 <br /> MANIFEST # 39900 <br /> L�CPJEfiATOR COPY <br />