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NON-HAZARDOUS WASTE MANIFEST' <br /> FOR WARN <br /> WASTE TREATM�NT AND DISPOSAL FACILITY <br /> 0 <br /> NC., JOB ACCEPTANCE NO. �, _ J�vy <br /> E BATOR ' , <br /> • REQUIRED PERSONAL PROTECTIVE EQUIPMEMT <br /> _ ! Yom_ -w �� i x [5GLOVES ❑GOGGLES ❑RESPIRATOR HARD HAT <br /> M�I�JC�ADDR��Sx / ' - ❑TY-VEK ❑OTHER <br /> CIN TATE, ZIP i SPECIAL HANDLING PROCEDURES <br /> V5 / S , �z <br /> ,HANE <br /> CO ACT PER N <br /> SIGN OF:AUMIAACG-,ENT / TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL [:19999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTIOTIO N 501E ❑ ASH ASH <br /> ❑ OTHER MANTECA,PALIFORNIA 95336 <br /> aENERATIN ,IrActurY <br /> TW <br /> (209) 982-4298 PHONE <br /> u �-e� I u ��/�5 (209) 982- 1009 FAX <br /> NAMf,EfI �j NOTES TRUCK NUMBER <br /> ADDRESS µ <br /> • CI Y, STATE,ZIP = ' �„ <br /> P ONE�'i 130TTOM,DUMp BANS Edi_ <br /> 6161`40W OF�'~UTH lZED4d TOR D�IVEFi Y 6AT�w -ROI I <br /> E] El <br /> _ LSAT-T33ED❑ ANt qRU S <br /> El 1:1 13 <br /> FORWARD INC. LANDFILL CUBIC YrI Ds; Y - <br /> Forward shall have no obligation to accept the waste if weather or other t� <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 r`r Dlsl?DSt_ 6"810 I ERATE 3Td6�Kf�Lt OTggf E <br /> waste for any reason If Forwards refusal to accept the waste is based on M m� <br /> 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'---, <br /> the waste ❑ SLUDGE <br /> ., x ❑ NON-FRIABLE <br /> • I`ACILY T CIGTgE—'p "`�'" ASBESTOS <br /> - -�"� ❑ WOOD <br /> S1tNA <br /> 01F11 <br /> F] ASH <br /> ❑ OTHER <br /> SCHEDULING MUST 13E MADE PRIOR TO 4 00 P M THE DAY PRIOR 10 EXPECTED ARRIVAL + ANY UNSCHEDULED LOADS ARE <br /> SUT1 IE( r 10 RFFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST FIE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL 1209) 982-4298 MANIFEST # 6559 <br /> GENERATOR COPY <br />