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WARD NON-HAZARDOUS WAST�MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> rpt'' JOB ACCEPTANCE NO. <br /> j REQUIRED PERSONAL PROTECTIVE EQUIPMENT'We N ATOG"Z G alle7Z6 ;�Z_E 0/ ej!� ; <br /> ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> AILING ADD ES ❑TY-VEK [:]OTHER <br /> _le�F <br /> CITY, STATE, ZIP A 2 SPECIAL HANDLING PROCEDURES <br /> LN� <br /> ' ZRSON <br /> C TACTo <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY " <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ` ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> AME NOTES <br /> ADDRESS ^ ' , <br /> • CITY,S ATE,ZIP <br /> NE f �� END DUMP * BOTTOM DUMP, Vol,F TRANSFER <br /> 11 1:1 <br /> SIG Ui SFJ AU i�tiZED AG&NT O bR4eR DATE ROLL❑OFF(S) FLAT-BE--w 'VAIN 3��,^ DRUM �,s= <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other tom) <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED Y,FDRWARD) <br /> Impairs the safe and effective operation of the Landfill Forward shall use "r -� , nry;n <br /> IT reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIQ,; AERATE ERV <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> IL <br /> Ti 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 accept <br /> the waste i ❑ SLUDGE <br /> REMARKS /� <br /> r NON-FRIABLE <br /> r i ❑ ASBESTOS <br /> FACILIT'TICK MER�, ' x �°• r <br /> �� ❑ WOOD <br /> SIGNATURE OF AUTHOPIZED AGENT r D,TE ' <br /> ASH <br /> 7�C �rrf �"_-__ ❑ OTHER <br /> SCIfFDULINC MUST BP MADE PRIOR 1f) 4 00 P M THE DAY Prion 10 EXr FCTFD ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> 1 TO SCHEDTO REFUSAL UPON ARRIVAL ULE LE CALL (fig)982-4298 ONGOING DAILY DELIVERIES MUST 13E SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> MANIFEST # 6552 <br /> rertr_nnlon copy 1 t le)r, <br />