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ORWANON—HAZARDOUS- t WASTE MANIFEST <br /> I � � W TEiTREATME <br /> INCORPORATED AS NT AND DISPOSAL FACILITY <br /> { <br /> ` <br /> JOB �aP <br /> _ B ACCTANCE K0 <br /> 1 - 9— <br /> -r - e EQUIREfl F� NAt PROTECTIVE EQUIPME d-�E <br /> L1 " D ❑GLOVES [:]GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> ❑TY-VEK E]OTHER <br /> g 7JP� - s77-- " SPECIAL HANDLING PROCEDURES <br /> PERS 4 <br /> SlGNA F A RI AGENT! T1TLE DATE <br /> WASTE TYPE � RECE ONG 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 /> r . _ ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING_FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NOTES _ -- TRUCK NUMBER <br /> ADDRESS <br /> f:NO OURP BOTTOM DUMP._ _ TRANSFER <br /> . SIGN,�T:R_CF AU ORIZED AGENT OR DRIVER DATE _ �__ _ROLL-OFF(S)____FLAT-BED VAN _DRUMS N <br /> El ED <br /> f FORWARD INC. LANDFILL Cu - <br /> ' Forward shag 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 (TO BE COMPLETED BY FORWARD) <br /> impqirrs 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 AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on 1 - - - — -- - <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 f <br /> ASBESTOS <br /> FACILITY TICK NUMBER <br /> — - ❑ WOOD- <br /> IG -OF <br /> OOD-IGNATURE-OF AUTHQRIZED!ZED - DAI E <br /> - [] ASH f <br /> s ❑ 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) 9$2-429$ 09173/ <br /> ` MANIFEST # ' <br /> satM rYWV <br />