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NON-H -. ��OUS WASTEMANIFEST <br /> WARD WASTE TTME�AII�A�ID DISPOSAL FACILEfY--} <br /> !NL`. JOB ACCEPTANCE N0. <br /> GENERATORa4 XL � - .fi. >- v n <br /> fZ ? EOUIHED PERSO_ NAS PR07EC�TNE€.UIPME r 4, <br /> FEFi4l- F�l &{� f? �tirl- ❑GLOVES ❑GOGGLESORESPIRATOR ❑HARD HAT <br /> MAW G A[) TRESS- Vii' " <br /> �'!TJ EJ�CiG�� 4CR.l:: ❑TY-VEK ❑OTHER <br /> CITY STATE yZ1Ph-r SPECIAL HANDLING PROCEDURES: <br /> i. • W WSt��k��t� <br /> PHONE 20-4�7Z T�fi <br /> CONTACTPERSONn� ; <br /> SIGNATU E:OF AUTHO <br /> LRIZEO A ENT 171TLE DATE <br /> i <br /> • WASTE TYP - - RECEMNG FACILITY. <br /> ❑ TREATMENT SOIL El SLUDGE NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL _ ❑ WOOD 4 <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999.SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATINGFACILRY ,, F (209) 982-4298 PHONE <br /> KS>4"-• ��14rD (209) 982-1009iFAX <br /> jlwTLt�I lq qwa oUC)ofr C.Q! <br /> NAME. /PZ< /4Ls1iL os `!"gt<.?X1 & }x "� VNOTES���- <br /> _ TRUC UMBE3i.- <br /> ADDRES4" Kr uZ,f,g VF. � <br /> • CITY STATE;?1P /StOtf�.\�,ti , GLd 2 9S3S� <br /> PHONE END DUMP BOTTOM DUMP :TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL OFF(SL_ FLAT BED, VANa,; DRUMS <br /> . ..- . <br /> 44 El El El El <br /> E <br /> CUBIC YARDS ` <br /> FORWARD INC. LANDFILL -�= <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or B the waste DISPOSAL METHOD ..lTOBE 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 y DISPOSE 'BIO'x AERATE SrOCKPLL.E �' OTHER, <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 SOIL - <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> • REMARKS - <br /> .. .. "-.. ❑ NON FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER7. <br /> - = ❑ WOOD <br /> SIGN AT /0_ FIA RIZ AGENT ) DATE <br /> ��� .❑ ASH <br /> _�` �" �-' " 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 ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209)962-4298 , ° 1 A -7 /10 <br />