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' TORWARA W. = NON-HAZAOOUS WASTE MANIFEST <br /> ' 'J NC • tP • RATE ! -'-`­ WASTE TREATMENT AND DISPOSAL FACILITY• ,--Y- -- --• <br /> - 1:`JOB ACCEPTANCE NO. 744911 <br /> F <br /> ATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> m O0 �GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> .ADDRESS ❑TY-VEK ❑OTHER <br /> UW- :C4XVt <br /> ATE, Zlp SPECIAL HANDLING PROCEDURES: <br /> ' • alb.w�Fsau�scs�CA 9�i�3f?., . <br /> PHONE <br /> ' CONTACT-PERSON <br /> z+u'1 i <br /> SIGNATURE OF;AUTHORIZED AGENT /TITLE DATE <br /> ' WASTE TYPE` RECEIVING FACILITY <br /> WTY <br /> G <br /> SLUDGE <br /> ' TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ E] <br /> DISPOSAL SOIL ❑ WOOD - 9999 SOUTH AUSTIN ROAD <br /> ' ❑ CONSTRUCTION SOIL ❑ ASH <br /> + ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME TRACTOR LIC.# r `. TRUCK NUMBER <br /> ADDRESS �. "TRAILER LIC. # t Z. {.'(- V- <br /> N <br /> • CITY, STATE,ZIP TRAILER LIC. # <br /> CA 9,k414 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN `T DRUMS <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 DISPOSAL METHOD: (TO 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 AERATE�s-roCKPILE OTHER <br /> waste for any reason. If Forward's refusal io 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 /> FACILITY TICKET NUMBER ASBESTOS <br /> t.: ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT MDATE <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 V <br /> F01 fC95i MH)5.96 SALES COPY MANIFEST # C <br />