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NON-HAZARDOUS WASTE MANIFEST <br /> LWARD := WASTE T� ENT AND DISPOSAL FACILITY <br /> I1W. JOB ACCEPTANCE N0. <br /> J} 5 <br /> GENE 11_ 3R: � �. :.� ' �,3 REQUIRED R�ECTIVE_E�fJIPMENT ,r <br /> . __ <br /> rI v L 0 GLOVES jj❑GOGGLES ❑RESPIRATOR [:]HARD HAT <br /> MAILING ADDRE A " , ' ❑TY VEK ?i[:]OTHER <br /> s <br /> CIT I ST81 .a� :s SPECIAL HANDLING PROCEDURES: <br /> • ori a �4 3 <br /> - PHONE - <br /> SIGNATURE�Off -1THORiZED AGENT%.: ".DATE f <br /> • .� y <br /> WASTE TYPEfiµ . _ x �r -' :RECEIVING <br /> TREAT <br /> . ..- _- __��•-s ._ <br /> ❑ SLUDGE <br /> ❑ pAT AELNT SOIL ❑ NON-FRIABLE ASBESTOS i FORWARD INC. LANDFILL <br /> S OS SOIL WOOD I}" <br /> r_1 CONSTRUCTION solL E3 ASH <br /> 9999 SOUTH AUSTIN ROAD <br /> " ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> Y <br /> • GENERATING FACILITY ,r,:: r-y. �• w r <br /> �� � (209) 982-4298 PHONE <br /> v oo v ,% YYl + 1c: ��ud i„ (209) 982- 1009 FAX <br /> 7 <br /> 4-or I/--+o AS C11) I� � <br /> NAME : T <br /> W�o <br /> . . -. •w E � , <br /> -� IL <br /> ADDRESS�,:�. <br /> ai�CITY,STAT ZIP ' _'. <br /> : c a1 a <br /> PNE P "w `8C?TTOMDtJMP TRANSFER <br /> �.� <br /> HO <br /> _ ❑ <br /> SIG RE_OF AUTHORRED AGENT OR DRIVER_' -DATE`'"` ROLL-0FF$ ,. fLAT.BED q.' :.. AN- DRU MIIS <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 NIETHOD. BE COMPLETED BY FURVYARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use areasonable efforts efforts to promptly notify Disposer of its inability to accept the �',•.,_� <br /> waste for any reason. If Forward's refusal to accept the waste is based on 11 I <br /> weather or other site conditions, Forward shall notify the Disposer when site• SOIL f <br /> conditions are expected to change such that Forward will be able to ac5pK <br /> the"ate. SLUDGE I I <br /> ` REMARKS"`� �� � _ � �, ..:;� ����" ..�_ ❑ <br />{ r <br /> ❑ NOfJ-FRIABLE <br /> FACILITY T[. ET NUMBER <br /> ASBESTOS[. <br /> SBESTOS ; <br /> ❑ WOOD ' <br /> 51GNA RE�OF _DATES` µ q : <br /> f ❑ ASH <br /> L/ �� ❑ OTHER t <br /> SCHEDULING MUST BE MADE PRIOR TO 4:01 THE DAY PRIOR TO EXPECTED;ARRIVAL • ANY UNSCHEDULED LOADS ARE t <br /> s 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 # 5 <br />