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it <br /> ARD <br /> NON-HAZARDOUS WASTE MANIFE� + <br /> ^ •` WASTE TREATMENT AND DISPOSAL FACILITY <br /> ■NC. JOB ACCEPTANCE NO. 3��f 5`- Z, <br /> ` GE 9-RAT-QR RE UiRi`©QERSONt4LkPR�TECTIV q IPMFNT <br /> t Ie-s [7GLOVES OGOGGLES ❑RESPIRATOR [�14ARD HAT <br /> 7SOTY-VEKOTHER <br /> o f <br /> CITY,$TATE ZIP'-"- ' i z�rry �, L�. SPECIAL HANDLING PROCEDURES <br /> P 0 - <br /> ACT ERSON- - <br /> SIGNATUR F� � (�ID'A ENT/ TITLE� � DATE <br /> RECf'IVING FACILITY <br /> ❑ SLUDGE <br /> • TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> Lj DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> �y ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> jg_qEjFA-�t!m` p (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> TRUCK NUMBER <br /> f <br /> DRESS - �_ <br /> . Cly, <br /> PH� ._ �� "' � _3 EN <br /> Q PUMP � 607TOM DUMP ti , TRANSFER <br /> El El z <br /> SIGNATURE-OFUT ORIZED AGggI T OR DRIVER DATE T__d ROLL-OFF(S)' v FLgT-�Ep 2 ' VAN 3'., DRUMS . <br /> El 11 El <br /> FORWARD INC. LANDFILL GuaIC YARDS _ _ <br /> Forward shalt have no obligation to accept the waste of weather or other / <br /> conditions impair the safe and effective disposal of the waste or it the waste DISPOSAL METhIOD (TO BE COMPLETED Y OF�WARP) <br /> impairs the safe aril effective operation of the Landfill Forward shall use P F <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPQSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on TM <br /> weather or other site conditions, Forward shall notify the Disposer when site ❑saQ1L---- <br /> • conditions are expected to change such that Forward will be able to accept <br /> the wasttems+ _ [-I SLUDGE <br /> REMARKS 9 f�r�•+ ` r ` _ . ., _ �,�� <br /> ElNON-FRIABLE <br /> • - =T1 <br /> --- ASBESTOS <br /> FACILITY TICKET NUMBS <br /> ❑ WOOD <br /> SIGR T OR ZEaENT� - DATE <br /> � r' r � ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL + ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209)982-4298 <br /> GENERATOR COPY 43935 <br /> MANIFEST # <br />