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RD NON—HAZARDOUS WASTE MANIFEST <br /> I CORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. PRr <br /> GENERATOR �r t' ,. ,' r MF ;: -` '�' w_ �-„ '� REQUIRED,!? R,�OW PROTECTIVE EQUIPMENT, <br /> ! a ®GLOVES ❑GOGGLES ❑RESPIRATOR E]HARD HAT <br /> �art<v..x-=.'r r�"f,'�: t Ty+.=^ <br /> r <br /> MAIONG ADD �.`�� TY-VEK OTHER <br /> Nil <br /> CITY;5'Ii4TE,7JP T �4-` '»,� �" �1 �r ,' SPECIAL HANDLING PROCEDURES <br /> PHONE <br /> CONTAC PEFISON ' ; �. �_ . - ✓`, , T - := Y -y-`- <br /> z ,, tris , 0 l <br /> SIGNATURE OF#JTHORIZED AGENfi fiTE DAT <br /> WASTE TYPE i w,' `: _ M s`' 'rr'',' RECEIVING FACIUTY__ -„ - <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> E3DISPOSAL SOIL ❑ WOOD <br /> • ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY - r (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> } <br /> NAME _ -,".f.`:" ,'i ar `i' r ,tsNOTES4��' ':K;> TRUCK NUMBER <br /> ADDRESS <br /> . CITY STATE, ZIP rr <br /> PHONE -, - END DUMP, BOTTOM DUMP TRANSFER <br /> 11 El <br /> SIGNATURE OF-A AGENiT�?R DRIVER` = DA "'-„ ' RC}LL-OFF Sy; PLAT-BED VAN DRUMS i <br /> _ _ ii ❑ ❑ ❑ ❑ <br /> I <br /> CUBIC YARDS--- <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$E COMPLETED BY FORWARD) i <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 '4��,_„` r a�Y,, DISPOSE BIO AERATE I STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on E] SOIL <br /> weather or other site conditions Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> � C <br /> REMARf< a srs ir3 r ”'•' •� NON-FRIABLE <br /> � � ,"�� ,; ❑ ASBEST05 <br /> FACILITY TICKET NUMBER 7w4'Ma; � -�M � = <br /> ❑ WOOD <br /> SIGNATURE OF AUTROFaIZEb AGEN 7,-' f,;,71� DATE'S'' s <br /> 1 ❑ ASH <br /> 'J ❑ 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 MANIFEST # 80027 <br />