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WARD <br /> NON-HAZARDOUS WASTE MANIFE�TI' <br /> .t WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. - r- s <br /> .� <br /> GENERATOR ,, - a i REgUIRED PERSONAL PROTECTIVE EQUIPMENT, <br /> MAI IIVG ADDRESS �{IA/ 4VA �' fir" - _ GLOVES [!!GOGGLES C1RESPIRATOR _ ARD HAT <br /> ❑TY-VEK ❑OTHER <br /> 4,STAIl FP TE, ' , G SPECIAL HANDLING PROCEDURES <br /> PHON <br /> f-11 <br /> • CATPERSNC! <br /> T <br /> OC I <br /> SIGNARE RIZED,AGENT / TITLE DATE - <br /> WASTE VPE - _ „ - a 7 RECEIVING FACILITY_' w <br /> ❑ SLUDGE <br /> PrTREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ❑ DISPOSAL SOIL ❑ WOOD <br /> L] CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY ' (209) 982-4298 PHONE <br /> �1 ck /K (209 982- 1009 FAX <br /> / f } <br /> NAME _ <br /> � r x NOTES �. �� SUCK NUMF3ER <br /> DDRIESS- <br /> Yo <br /> • P ONE a G Q <br /> °` ' END DUM1 t BOTTOM DUMP TRANSFER <br /> _ <br /> f" t !� / El El <br /> • SIGWXT Rt 6� AUTWOR/IZEDg4GENT OR DRIVER DATES;;­ .r F--i— F (S��-�_FLBE . ° x sVA <br /> El <br /> V 7- <br /> FORWARD INC. LANDFILL <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 '(TO BE COMPLETED I3Y 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 theDISPOSE ,1310 . 3AEIW SiOCkPILIE , DTI-IEA <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> weather or other sit9 conditions,Forward shall notify the Disposer when site El IL <br /> + conditions are expected to change such that Forward will be able to accept <br /> the waste SLUDGE <br /> REMARKS » - <br /> -' ❑ NON-FRIABLE <br /> • PA61LIT CkE_ NUBAR' � ���- s °'i � � -'" ASBESTOS <br /> B <br /> /_ _ _ <br /> El WOOD IGN U � U ORIZ- _,AGE _ <br /> r 17A7�4, <br /> 7 � � ❑ ASH <br /> / ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR'T6 4 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 MANIFEST # 43501 <br /> GENERAT017 copy <br />