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WARD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL.FACILITY <br /> ' - A -JOB ACCEPTANCE NO. S 0-7 <br /> GENERATOR _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> �•} hb <br /> []GLOVES []GOGGLES ❑RESPIRATOR ❑HADD HAT <br /> MAILING ADDRESS - x -r ❑TY-VEK -1 OTHER <br /> r SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP <br /> PHONE <br /> CONTACT PERSON Ll <br /> SIGNATURE OF AUTHORIZfED AGENt/TITLE DATE <br /> .• r �-C3�{M1� <br /> i <br /> WAgjrE TYPEw_ _ _ RECEIVING FACIL TY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ® DISPOSAL 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 /> i <br /> NAME - NOTES TRUCK NUMBER <br /> V r�IV Tf�LSC <br /> ADDRESS <br /> - CITY s fE,ZIP <br /> PHONE - _, END DUMP-_ _ , BOT=TOM DUMP_ TRANSFER _ <br /> SIG TUEiE QF'AUTH� ffffA -OR DRNER DATE- _ROLI.�OFF�S � FLAT-BED ''. VAWw -,DRUMS <br /> FORWARD INC. LANDFILL CUBIC YAlpsL ry <br /> " <br /> 1 <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 METHOD- O BE COMP1.E-€ED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use rHreasonable efforts to promptly notify Disposer of its inability to accept theISPOSE IB1O AERATE SiOCId�F t OTHER z' <br /> waste for any reason If Forwards refusal to accept the waste is based on SOIL <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 /> -�- -x .•._ ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> I <br /> WOOD <br /> SIG*ATURE OF AUTHORIZED AGENT DATE <br /> ASH <br /> ' ❑ 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 # 14395 <br /> SALES COPY <br />