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OR-WARD NCN-HAZ, )OUS WASTE MANIFEST <br /> FWASTE TREATMENT AND DISPOSAL FACILITY <br /> /NC. JOB ACCEPTANCE NO. L7/v-//y7 l2 v <br />` GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> (fLf VPC__ C t joo(_-> % fr,- <br /> []GLOVES ❑GOGGLES [—]RESPIRATOR []HARD HAT <br /> MAILING ADDRESS _ ❑TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP .� <br /> PHONE <br /> -707 3/ Y -1-6q71 <br /> CONTACT PERSON <br /> -SIGNATURE OF AUTHppmp A EPiT/Tm-E.. ,� DATE <br /> .. <br /> • WASTETY( _ _ _ RECEMNG FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME _,_ . CL .. , <br /> -c:= µ .NOTES ,: TRUCK NUMBER <br /> ADDRESS `iv?46:74E7 <br /> • CrrY,STATE Z1P <br /> PHONE ._ 0 ,.<� _. _. END DUMP_ . ._ BOTTOM DUMP TRAN,)FER _ <br /> SIGNATUREOFAUTHO A OizbRIVER DATE'M �a ROLL-0FF(3)....' FLAT-BED VMl _. _ DRUMS <br /> ' FORWARD INC. LANDFILL CU81GYARDSw-�, :� , <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 DISPOSALMETHOD T(TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> ::.:.; >. <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ,.;. ,;;,,�,�DISPOSE BIO;. AERATE STOCKPILE OTHER _ <br /> waste for any reason. If Forward's refusal to accept the waste is based on 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 /> • <br /> REMARKS'-' �. - <br /> - w . ❑ NON-FRIABLE <br /> FACILITY.TICKET NUMBER `,,m s'" "7 T ASBESTOS <br /> WOOD <br /> SIGNATURE OF AUTHORIZED AGENT <br /> ❑ ASH <br /> '' _ `� ❑ OTHER <br /> t <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 /> GENERATOR COPY MANIFEST # 35021 <br />