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NON-HAZARDOUS WASTE MANIFEST <br /> ffA_nWmWARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> ` INC" JOB ACCEPTANCE NO. .� <br /> E T R REQUIRED PERSONAL PROTECTIVE EQUIPMENTS%,r4o o%,,i <br /> [:]GLOVES ❑GOGGLES ❑RESPIRATOR []HARD HAT <br /> MA[LINO ADDRES r �.- �a Y ❑TY-VEK ❑OTHER <br /> CITY, S ATE, ZI SPECIAL HANDLING PROCEDURES <br /> ' acs <br /> PHONE - <br /> Z//�"� <br /> CON CT PERSON <br /> SIGNATUP� WAUTHORIZED AGENT / TITLE DATE <br /> WASTE TYPERECEIVING FACILITY r ' <br /> ....�.u._:4v.:.....,.....y„�,;,,,,�Wrr..7'.m• - t',..a...r <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC, LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> C1 CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> �-,- ,'?1E (209) 982 1009 FAX <br /> AME NOTES TRUCK NUMBER <br /> ADDRESS <br /> CITY,STATE, ZIP <br /> PHOT - END DUMP - A 13OT70M pUMPM ; TRA�ISF R'' . <br /> 2f�'� �u .0 __ _ ❑ El �_ 0 <br /> SIGNATURE OF ORIZED AGENT OR DRIVER DATE - ��E�, ROLOFF(S� °L ��L ` VA_ D _.0 � <br /> - <br /> 12-If El <br /> FORWARD INC. LANDFILL CUBIC YARbSrf ,�, <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 DISPOSAL METHOD ' a(TO BE COMPLETED 13Y FORWARD), <br /> impairs the safe and effective operation of the Landfill Forward shall use �> ro u <br /> _r" DISPOSE , B1C3. AEFATE ftckpll1, OTHEO <br /> reasonable efforts to promptly notify Disposer of its inability to accept the � ,,•��,� ,�.,_ � __ ,,an <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> weather or other site conditions, Forward shalt 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 /> REMARKS ❑ NON-FRIABLE <br /> FACI1671T' I KE�%tyjUMBER —` �' ='- ASBESTOS <br /> El <br /> ❑ WOOD <br /> `,� fL �-`�✓ �, �f/!/� ! fZ�f f I/ / <br /> "y/ 7 ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MU4T 13E MADE POOR TO 4 UQ P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARhIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209)982-4296 MANIFEST # 6560 <br /> GENERA'iOn COPY <br />