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i a <br /> I WARD NON-HAZARDOUS WASTE MANIFEST ; <br /> �f� WASTE TREATMENT AND DISPOSAL FACILITY <br /> I <br /> /V JOB ACCEPTANCE NO. <br /> EN REQUIRED PERSONAL PROTECTIVE EQUIPMENT'"40 1 <br /> �����v <br /> MAILING ADDRE ❑GLOVES ❑GOGGLES ❑RESPIRATOR Y HARD HAT <br /> ❑ <br /> Q/ / ❑TY-VEK ❑OTHER <br /> ITY, TA ZIP 4/ J SPECIAL HANDLING PROCEDURES { <br /> - PHONE <br /> CONTACT PERSON <br /> i I <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE <br /> A.- <br /> WASTE TYPE <br /> RECEIVING FACILITY <br /> ❑ SLUDGE <br /> 1 ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LAN FILL <br /> ISPOSAL SOIL ❑ WOOD <br /> CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTI POAD <br /> ' ❑ OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX- , <br /> 4 <br /> L�C �/ <br /> CINOTES `-: �; y� �U �r, fi�a� ,�'rTRIJCK NUM$EF# <br /> DID ESS f <br /> DESS / <br /> TY,STATE,ZIP c f <br /> PHONEtTF�ANSER ,' <br /> J y� END DUMP �.; BOTTOM DUMPt. <br /> SIGNATUREUTHORi ED AGENT OR DRIVER DATE ROLL-❑OFF(S <br /> F A <br /> ) FLAT BE 117 7 VA IN§114VILI u Mss ,>�' <br /> ' FORWARD INC.,LANDFILL <br /> CUBIC YARDS' �`t flit rf' ,_'- �=�;pf-�;�,� , <br /> S <br /> Forward shall have no obligation to accept the waste if weather or other r <br /> conditions impair the safe and effective disposal of the waste or if the waste <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPOSAL ME HOD', (TO BE COMPLETED BYrFORV►IARD� <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE ,P B RA7E � , <br /> waste for any reason If Forward's refusal to accept the waste is based on <br /> weather or other site conditions Forward shall notify the Disposer when site OIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> ` � ` '1 s'z 'fs 4 x"`'/1 i rr " F i i•c_a,r f F_-,`hp�1 M-a, v <br /> ❑❑ SLUDGE❑ NON-FRIABLE <br /> ASBESTOSFA¢ruTY ET N MBE WOOD <br /> USIGARfHoh12tb <br /> a <br /> AGENT`,' ' <br /> d xd <br /> 7 J /+ LEO] ASER <br /> 5( llFf)(ILfN(; MUST AF_ MAL]F PRIOR 1() q o(f r M TI IF DAY PMOR TO FXf FCTFD ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SlIR,IF(.i rO RFf ll4Al I)PON AtIRIVAL ONGOING DAILY DFf IVERIFS MUST BF SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> �O S(:ftl=f)ULF_ CULL {209} 982-4298 <br /> MANIFEST �, 6 5 51 � <br /> RFNr=►�nrotl ccmv � <br />