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WARD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> (T) GMM— 4061 <br /> GENERATOR _ --,_ :-� " _ - s_ . " 3 �, : `_ - REQUIRED PERSONAL PROTECTNE EQUIPMENT_ <br /> WILLIAM_ STEWART _ � ❑GLOVES []GOGGLES ❑RESPIRATOR F1 HARD HAT <br />' <br /> LING ADDRESS ❑TY VEK ❑OTHER <br /> CiTY;STAT� �2 W. LOWELL AVE . -_ __. A SPECIAL HANDLING PROCEDURES <br /> ZaP 'x' <br /> ,TRACY ,,, CA _95367__ <br /> PHONE - - G <br /> 209--835-5148 _ <br /> CONTACT PERSON <br /> WILLIAM STEWART � �- �TOGI,(� P1 L E � <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> • WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL 501E ❑ 9999 SOUTH AUSTIN ROAD <br /> El CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 515 11TH ti T <br /> �� Ca (209) 982- 1009 FAX <br /> ME r� ❑ ` NOTES TRUCK NUMBER <br /> ADDRESS <br /> CITY, STATE ZIP <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AU7YORIZED k GENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> _i ❑ ❑ ❑ <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obhgatron 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 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 DISPOSE BIO AERATE JSTOCKPIL� OTHER <br /> waste for any reason if Forwards refusal to accept the waste is based on <br /> weather or other site conditions f=orward shall notify the Disposer when se-_ SOIL <br /> conditions are expected to change such that Forward will be able to acc <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY 71CKET'RYMBER �-1 ASBESTOS <br /> J C3 WOOD <br /> S)GR ATU,RE OF AUTHOR�D AGENT / �� DATE <br /> ❑ ASH <br /> ❑ OTHER <br /> CHEDULING 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 />�O SCHEDULE CALL (209) 982-4298 MANIFEST # C 5427 <br /> GENERATOR COPY <br />