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WARD, . n NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE N0. <br /> GEN _ 70R _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> IG <br /> � L `, 1� "�\,� I_ t GLOVES [:]GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> ADDRESS _ ❑TY-VEK ❑OTHER <br /> * ( <br /> CITY,STATE,ZIP t - - SPECIAL HANDLING PROCEDURES <br /> _ � <br /> • PHONE r - - I__ 41 - <br /> CONTACT PERSONM` _ <br /> cL, <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE_ -," DATE _ <br /> RECEMNG FACILITY <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY - -- (209) 982-4298 PHONE <br /> - <br /> 1 -1c (209) 982- 1009 FAX <br /> JC. �\ LC € j ' r <br /> NAME - NOTES TRUCK <br /> NUMBER <br /> .,ADDRESS��_ - <br /> C�- -� <br /> . _CITY,STATE,ZIP ` <br /> PHONE _ _ _ - _ END DUMP -BOTTOM DUMP_ `,;"-=sTRAhg FER <br /> --- - —, <br /> . S TU � FQ Aw�RIZI AG NT OR DRIVE _ 'DATE-_--, �:, RO!7-FF(Sj - F1=AT❑BEQ r_, _ EVaNar ��RUMS f <br /> ❑ ❑ <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 if the waste DISPOSAL METHOD. (7O BE COMPLETED]BY FORWARD) <br /> impairs the safe and effective operation of the landfill Forward shall use . � — s r <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ DISP05E Bld_ , AERATE S[OC i d (TfHER F <br /> waste for any reason If Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notity the Disposer when site M 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 NUMBER <br /> - = 1 ` ❑ WOOD <br /> SIGNAAT[JRE OF AUTHORIZED AGENT_-- r DATE_ <br /> t - _ ❑ ASH <br /> Io 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 <br /> MANIFEST# 14394 <br /> SALES COPY <br />