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c <br /> WIRD NON-HAZARDOUS WASTE MANIFEST iln,­' <br /> Ur'.0" WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. -- <br /> GENE I TO REQUIRED PERSONAL PROTECTIVg, <br /> . -� . <br /> [:]GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> WMAILIN ft <br /> DRESS _ ❑TY-VEK ❑OTHER <br /> CITY, 4 p r SPECIAL HANDLING PROCEDURES <br /> CDNTA �� So <br /> N . , <br /> SIG URE O_ F AL Ht&2E AG NT% TITLE` ° DATE ' <br /> _.. * Of <br /> - - <br /> WASTE TYPE REGElVINCa FACILITY <br /> -_�..,,. _ G Fj, _1. <br /> ❑ <br /> SLUDGE <br /> TREATMEN�SOIL ❑ <br /> • ❑ DISPOSAL SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> _QENERATIN FACILITY �j (209) 982-4298 PHONE <br /> el (209) 982- 1009 FAX <br /> NAME TRUCK I'-LUh4PgFj . <br /> AD ESS <br /> • CITY,8TfgTlp <br /> END DUMP ' >x BOTTOM DUMP TRANSFEFi , <br /> 1:1 11 El <br /> SIGNATURE 4F��THORIED AG�OR DRIVER ` Df�TE ROF(S) f FLAT D , VAN' DRQ S <br /> El <br /> FORWARD INC. LANDFILL Cc YAR°s_ � -ae- <br /> Forward shall have no obligation to accept the waste it weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste DISP SAL METHOD =� '(TO BE COMPLETED BY FORWARp) <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 B10 AERATE 57?0 PILEOTt-IER <br /> waste for any reason If Forward's refusal to accept the waste is based on "" ` <br /> weather or other site conditions Forward shall notify the Disposer when site JaSOIL <br /> ' conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ <br /> • MARKS SLUDGE <br /> RE <br /> a • `_>,kfi y ', , <br /> ❑ NON-FRIABLE <br /> FgC�I QTY TIC E MEQ - `4 ASBESTOS <br /> El wooD <br /> IQNATURE OF,' UTHORIZED`AGENT <br /> i T _ ❑ ASH <br /> ' G <br /> El OTHER <br /> SCHWOLk4G MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT EFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULI` CALL(209)982-4298 GENERATOR COPY 4 3 9 4 0 <br /> MANIFEST # <br />