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IFGRWARD <br /> NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INt. JOB ACCEPTANCE NO. <br /> E �oR f��` Q��, "� -REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> G � ��s/ []GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> AILING ADD E []TY-VEK ❑OTHER <br />� ��Q � <br /> CITY STAT ,ZI � �� SPECIAL HANDLING PROCEDURES <br /> lit�,��©� �;rz cv <br /> PHONE <br /> CONT PERSO��6 a /—? / <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE <br /> • WASTE TYPE RECEIVING FACILITYtr',�R, �`' t ,�'; r � '� <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ <br /> CONSTRUCTION POSAL <br /> ASH SOIL ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NOTESRUCL('N,q NfBwtER <br /> 3 <br /> ADDRESS l� <br /> • C1TY STATE, ZIP <br /> PH NE - END DUMP " BOTTOM[SUMP -,�,?-T N FE Y' <br /> � � �Q / 11 11 0 <br /> SIGMA U f=OF AUTHORIZE AGE f QR DRIVER DATE ROLL-OFE(S�z' <br /> J `/�,(�� ❑ ❑ D ❑ <br /> CUBIC YARDS.. <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other J <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD r(TO gE COMPLETED BYtiFOFiWAF*D} <br /> impairs the safe and effective operation of the Landfill Forward shall use s,'. <br /> reasonable efforts to promptly notify Disposer of its inability to accept the '} DISPOSE 1,16164 AERATE Eklo <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 site L <br /> ' conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS, s 4'-':x , ' ,w,;' ,•� �3 y" s <br /> ❑ NON-FRIABLE <br /> MCIUtY TICKET NUMBER _ - ASBESTOS <br /> - t <br /> ❑ WOOD <br /> 8 IONr <br /> JE Ar ZED AGENT --Z' �F sT DAME.r 7'7,0 <br /> r t`, ❑ ASH <br /> ❑ OTHER <br /> Sr IIEDULING MUST BE MADE PRIOR TO 4 OU P M TIfE DAY PRIOR 10 EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> jq'IRJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> 4) SCFIEDULI= CALL (209) 982-4298 MANIFEST # 6554 <br /> GENERATOR COPY RECEIVEE! LL �, 7 1� 4 <br />