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S <br /> NON-HAZAMOUS WASTE MANIFEST <br /> �►+ #I NC : P O R A T E D " " WASTE TREATMENT AND DISPOSAL FACILITY <br /> Y� JOB ACCEPTANCE NO. j <br /> ENERATOR - - REQUIRED PERSONAL.PROTECTIVE EQUIPMENT <br />' �� [D�LOVES ❑GOGGLES []RESPIRATOR E]HARD HAT MAILING,ADDFIESS -. '. ❑TY-VEK ❑OTHER 3 <br /> SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> PHONE _ ,`/�� '• <br /> CONTACT PERSON <br /> SIGNATURE OF;�-O- RIZED AG-ENT <br /> G_ENT_ /TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY'- <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL ❑ wooD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME r- NOTES: TRUCK NUMBER <br /> ADDRESS <br /> CITY,STATE,ZIP <br /> . PHONE 1 —" END DUMP ; BOTTOM DUMP TRANSFER <br /> • . SIGNATURE OF AUTHORIZED"AGENT OR DRIVER DATE ROLL-OFF(S)� FLAT-BED, VAN DRUMS <br /> ❑. ❑ ❑ : El ; <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or othert <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 _u:;;a.;, DISPOSE ' SIO i AERATE STOCKPILE OTHER- <br /> POSE IER <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 �r -•., "ra :x: - a ��: <br /> NON-FRIABLE <br /> • FACILITY'T1CKE U "'" '- <br /> ❑ <br /> ASBESTOS <br /> 7. <br /> _Z� � _y. <br /> i <br /> ❑ WOOD <br /> SIGNATURE OF^AUTFiQRiZED`AGEN� _,� --5ATE, �y T <br /> [:),ASH <br /> 7� ❑ 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 5 7 9 41 <br /> MANIFEST # J 7 <br /> SALES COPY i <br />