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-v ND;N-HAZARDOUS WASTE MANIFEST <br /> WARD WASTE ;ATMENT AND DISPOSAL FACILITY <br /> i. <br /> INt 4- JOB ACCEPTANCE NO. 5/% _ a /. .em.. .. <br /> QUIRED PERSONAL:PROTEC77YE EQUIPMENT <br /> =�x:'. TY-VEK - -----�� - v HARD <br /> ' _�-- <br /> GLOVES 1I ❑GOGGLES �RESPIRATOR ❑HARD <br /> i MJUANG ADDRESS r _ ` s OTHER <br /> CRY, .. SPECIAL HANDLING PROCEDURES: <br /> 9-TE,Z[P7k £ '' h N�F 5yd f - <br /> �51Gt.n Daman . X53 <br /> �C �7Z <br /> NO/U r1_ . <br /> frand on�f- a�t'► _ <br /> SIGNATURE OF AUTHORIZED AGENT,_! <br /> WASTE TYPE <br /> €iECEMNG-FACILITY <br /> or <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ff DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 1,9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> ' <br /> GEMERATiNG,FACILITY _;.- (209) 982-4298 PHONE <br /> 9,00 E5� f�Kt W i �e P-vad (209} 982- 1009 FAX ' <br /> i k <br /> --g-TRUCK <br /> NAME NOTE <br /> � <br /> NUMBER <br /> K N ER <br /> -- <br /> :; <br /> ADDRESS., <br /> • CITY SITE,ZIP <br /> _ ' ' � <br /> , 4� RA <br /> NPHo E E '" i— a moSFR <br /> SIGNATURE OF AUTHORIZED�LGENT ORiDRIVER % DATE _ � <br /> _ ,R'�OL -OFFS a3 FLAT-BEDS' T .;:"D MSS• <br /> El <br /> _ LYgR:CUBICFORWARD INC. LANDFILL <br /> ;;. <br /> Forward shall have no obligation to accept the waste if weather or other I <br /> conditions impair the safe and effective disposal of the waste or if the waste DIS MET�iO© (T+Q BE COMPLETED BY FOR11114RD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use s �. <br /> reasonable efforts to promptly notify Disposer of its inability to accept the -.-t. O..w TE STOCKPLE <br /> waste for arty reason. If Forward's refusal to accept the waste is based. -� k <br /> . weather or other site conditions,Forward shall notify the Disposer wheKsitp- ❑ SOIL <br /> conditions are expected to change such that Forward will be able to accept ) <br /> the waste. <br /> _SRT ❑ SL61 DGE <br /> + _ ❑ <br /> NON-FRMA IE <br /> - FACiLJ'f�F�l�CICET N� � ASBESTOS J <br /> ❑ WOOD <br /> SI -, �Y= ' I <br /> ❑ ASH <br /> ❑ OTHER <br /> I SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br />` TSUBJECT TO REFUSAL O SCHEDULE CALL(45O9 ARRIVAL <br /> ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> l MANIFEST # 3068 <br /> fi81 CC rnpv '1i -S .. <br />