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WARD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> -JOB ACCEPTANCE NO 4s N `iZ7w <br /> GENERATOR _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ <br /> t I f\ V I 1 ,� +f�t_( ^ t t j_( F]GLOVES []GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK [:]OTHER <br /> CITY,STATE,ZIP _ - _ "�' SPECIAL HANDLING PROCEDURES <br /> PHONE <br /> CONTACT PERSON fir- <br /> Z`- <br /> SITN('Jt. FE')OF AUTHORIZED AGENT—/TITLE �- DATE <br /> r <br /> Pte,.4 r� ttlo�+•, 3 �� f <br /> E TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • R DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ - (209) 982-4298 PHONE <br /> A t, C (209) 982-1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> ADDRESS <br /> CITYr,STATE,_Zl_ <br /> PHONE 3_ - - END DUMP BOTTOM©UMP - TRANSFFt <br /> NATURE OF AUTHORIZED AGENT OR__DRNER DATE ."". ROLL-OFFS) - - FLAT-BED VAN DRUAS <br /> 7k �. ..� - <br /> El ❑ 11 El <br /> FORWARD INC. LANDFILL CUBIC YARDS- <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 D{SPOSAL METHOD- (TSO BE 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 DISPOSE -BIO,- AERATFF, STOCKPILE L3THER,, <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 %se <br /> • <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS - - ` ,. �. <br /> _ - <br /> NON-FRIABLE <br /> --- ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> I -��.. _ _ ❑ WOOD <br /> SIGNURE OF AUT1 IORIZED AGENT DATE-_ T <br /> tr ❑ ASH <br /> ElOTHER <br /> 14- <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 # 14392 <br /> SALES COPY <br />