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NON-HAZARDOUS WASTE MANIFEST <br /> I _FrWARDPI <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. (T)', CMM -- 4061 ' <br />' vY 2 w ? i REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> GENERATOR_,.. _y, ` �,F�.`� �:.,»_ _.� ��_:_ <br /> W I L LI My S T EWA Rr T ❑GLOVES []GOGGLES ❑RESPIRATOR [:]HARD HAT <br /> ILING,4DDRESSti ❑TY-VEK ❑OTHER <br /> 462 W. LOWELL_ AVE . -r< SPECIAL HANDLING PROCEDURES <br /> CITY STATE;,ZIP <br /> • -,,TRACY, CAA 9536Z,-,_ <br /> PHONE �r- <br /> 209-835,-5 .48 <br /> CONTACT PERSON - <br /> WILLIAM STEWART J <br /> I SIGNATURE OF AUTHORIZED AGENT/TFTLE . DATE -TI-0 clK 3Q )�- <br /> C7 � <br />' - WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> K ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> DISPOSAL SOIL ❑ WOOD 999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL [:1 ASH <br /> 9 <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> Ti;ACY , I,'LA 'r (209) 982- 1009 FAX <br /> ME NOTES TRUCK NUMBER <br /> RI-; f- A-AILTU-N TRUC K T SIG <br /> ADDRESS <br /> 131 -- DAUL-15 ,11E AVE <br /> CITY,STATE ZIP <br /> C =5 T 0 , C A ?;`J59 <br /> 7 PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> 4 <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impar 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 STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based ors ❑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'ac4W <br /> the waste ❑ SLUDGE <br /> ` REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY T,GKET�4E:MBER ASBESTOS <br /> ;, ❑ WOOD <br /> SIGNATURE F AUTHORIZE GENT n <br /> ' ❑ ASH <br /> 7- .�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 ARRIVA"NGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209) 982-4298 MANIFEST # C 5428 <br /> GENERATOR COPY <br />