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IFORWARD NON-HAZARDOUS WASTE MANIFEST WASTE TREATMENT AND DISPOSAL FACILITY VNE. JOB ACCEPTANCE NO. (� L�ENE AT / /�� ' -REQUIRED PERSONAL PROTECTIVE EQUIPMENT � �/ a��s�� C� v� ❑GLOVES ❑GOGGLES [I RESPIRATOR ❑HARD HAT MAILING ADDRI= ❑TY-VEK ❑OTHER CITY,STATE ZIP SPECIAL HANDLING PROCEDURES • PHONE �� o C TACT ZSON SIGNATURE OF AUTHORIZED AGENT /TITLE DATE WASTE TYPE RECEIVING FACILITY �� x __ } �k# �„s'• ' ❑ TREATMENT SOIL El SLUDGE ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL ' SPOSAL SOIL ❑ WOOD CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD ❑ OTHER MANTECA, CALIFORNIA 95336 GENERATING FACILITY (209) 982-4298 PHONE (209) 982- 1009 FAX Ai�zy-T� �v'L�' Tz''��-r-�r C+�/��/`�2/i�►'�� vim'�4�` NOTES cW , '�!�� RUCr K NUMBE �� DRESS CITY,STATE,ZIP ONP_ ENDDUMP BOTTOM DUMPA (7/ x TURE'0F AUTHORI7Eb A ENT OR DRIVERBATE ROLL-OFFt 1 'LAT-BES �VA tb ❑ ❑ ❑ ❑ FORWARD INC. LANDFILL CUBIC JRD5 f Forward shall have no obligation to accept the waste if weather or other conditions impair the safe and effective disposal of the waste or if the waste impairs the safe and effective operation of the Landfill Forward shall use DISPOSAL ET HOD (TO BE COMpL�TEb B FOV RDS- reasonable efforts to promptly notify Disposer of its inability to accept the Y 7'a � DIS�bSE �s��+' A�I•{AT� ��y��E�� waste for any reason If Forwards refusal to accept the waste Is based on weather or other site conditions,Forward shall notify the Disposer when site OIL conditions are expected to change such that Forward will be able to accep the waste ❑ SLUDGE y Y! ❑ NON-FRIABLE iPk IT'!t' TICKET 14UM13ER `b r,Y fT ` •` - a R ASBESTOS I ❑ WOOD slaN#uR6V -Rii—EC6 A&Gt T;r-,-'Jr bAft �� ❑ ASH OTHER SCHEDULING MUST BE MADE PRIOR TO A 00 PM TF IE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE SUBJi CT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL (209) 982-4298 MANIFEST # 6553 rrl=tfPRAron copy QFCLIV' L) i `' 1;