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NON-HAZAODUS WASTE MANIFEST <br /> ! N C O R P O R-A T E D g" 9 WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. 1744911 <br /> GENERATORf,�,y REQUIRED PERSONAL PROTECTIVE EQUIPMENT " <br /> EIGLOVES [:]GOGGLES ❑RESPIRATOR HARD HAT <br /> MAILING ADDRESS ❑TY VEK ❑OTHER <br /> CIT , STATE, IP " SPECIAL HANDLING PROCEDURES: <br /> CITY, STATE,ZIP - - - <br /> • <br /> SOW--tom:.,-r' ,_-iscu C.A 94030 <br /> PHONE <br /> ,9Z5 3M"9Z38 <br /> [CONTACT PERSON <br /> SIGNATURE 9F AUTHORIZED AGET/TITLE .DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • El DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCKPILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 2"'0' (209) 982- 1009 FAX <br /> NAME TCTOiC # 1{F TCR3U_.C, K !j^MB <br /> LiVADDR€SS TRAERL # <br /> 1 f �•. <br /> • CITY, STATE,ZIP TRAILER LIC. # <br /> PHONE END-3PMP BOTTOM DUMP ;".TRANSFER <br /> SIGNATYRE OF AUTHORIZED AGENdR DRIVER [;ATEA ROLL-OFFS) FLAT-BED , , VAN DRUMS <br /> El <br /> 13 E3 El <br /> FORWARD INC-' LANDFILL CUBICYARi35 <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 METHO,D") (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 DIPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason. if Forward's 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 /> f: NON-FRIABLE <br /> a _ ❑ ASBESTOS <br /> FACILITY T1CKl T'NUMBER W.. _........ . . __�.�,_ . <br /> �� ❑ WOOD <br /> SIGNATYRE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> *" f f -- r ❑ 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 /> Mi IC951INH}6-96 SALES COPY MANIFEST # C <br />