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'NON-HAZARDOUS WASTE MANIFEST <br /> .�C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> GEN{=BATOR f. REQUIRED PERSONAL PROTECTIVE EQUIPMENT, , <br /> " { GLOVES GOGGLES RESPIRATOR HARD HAT <br /> MAILINO'ADDRE ', �TY-VEK ❑OTHER ❑ <br /> CITE',ST/}TE ZiP F ��f } t� L� -" "` �" f r�� `i'" SPECIAL HANDLING PROCEDURES <br /> PHONE:, <br /> CONTACT PERkNy <br /> SIGNATt7fE dF _ORIZED Al�NT .'�TLE. DATE <br /> WASTE TYPE u r" �aw ^�'-ice RECENING ACf1.4TIaYj>j,,Y= <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ f (209) 982-4298 PHONE <br /> i�Lr�" (209) 982- 1009 FAX <br /> E ti w 'F •y,+ iwr.», yY ri's 9 r r° J s ;I <br /> TRUCK NUMBER <br /> ADDRESS ' -Z r,} ♦-i•-fir`1"r�s � .w..j'�..�^:..fin-,?. <br /> 7 y+ _ <br /> CITY,STATE,ZIP <br /> PI-ZONE '-%END DUMPS­ BOTTOM DUMP, TRANSFER <br /> SIGNATU OF_XUTHORIZEDSAGE +- _R bRiVE M A7 � � ;:4014-61�F(S) d LA gtD� VAN DRUMS <br /> 0113 <br /> FORWARD INC. LANDFILL CUBIG YARDS3;yA <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_IVIETHOD:��-(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 mss ;- 'tixs,:; blSPOSE 6,810 AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on 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 /> ` REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITYTICKET NUMBER ", ;r - -_ T' ;' ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE;PF___ - HORIZE AGEI�FT DATES <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 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 <br /> MANIFEST # 80022 <br /> �6 SPY <br />