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WARD <br /> r NON-HAZARDOUS WASTE MANIFEST <br /> # WASTE TREATMENT AND DISPOSAL FACILITY <br /> SNC. JOB ACCEPTANCE NO. S kt rte--' v'? t <br /> GENERATOR _ _ _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS _ ❑TY-VEK []OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP <br /> - PHONE ' <br /> CONTACT PERSON <br /> '3L ' H \ L+,�V�_ <br /> SIGNATURE tF AUTHORIZED AGENT/TITLE r DATE <br /> RECEMNG FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • � DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL E3 ASH <br /> 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERAONG FACILITY _` _ (209) 982-4298 PHONE <br /> 11C - c t` � 'V � (209) 982- 1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> _V1EKL CKLIJIG <br /> ADDRESS -- <br /> i_L t'!T-r ESU <br /> • CITY STATE,ZIP <br /> _ <br /> . „_ y_ _ <br /> PHONE - � '_ END DUMP , BOTTOM DUMPTRANSFER-_-_ <br /> El 0 <br /> ,SIG _TURD OF2k OR GENT,OR DRIVER DATE ;r -ROLL.-OI^F(S) FLAT-BED VAN, DRUMS <br /> * ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CIISICYARDs <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 if the waste DISPOSAL MET140DBE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use I <br /> reasonable efforts to promptly notify Disposer of its inability to accept the __-z DISPOSE ­11310 AERATE STOCKPIE.E OTHER <br /> waste for any reason if Forward's refusal to accept the waste is based on [ SOlL <br /> 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 ❑ SLUDGE <br /> REMARKS <br /> _ NON-FRIABLE <br /> _ ❑ <br /> F7'CiLfTY TICKET NUMBER -o- ASBESTOS <br /> _ . _ ❑ WOOD <br /> SIG TUBE OF AUTHORIZED AGENT DATE <br /> ___. ..._ _ " _ _ <br /> ❑ ASH <br /> r 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)982-4298 MANIFEST # 14398 <br /> SALES COPY <br />