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0�,NMv �0� �� NON-HAZAR US WASTE MANIFEST <br /> D ., WASTE TREAT AND DISPOSAL FACILITY l.7VC0RP0RATED <br /> �.� - JOB ACCEPTANCE NO <br /> ENERATOR,. REOUIRED PERSONAL,PROTECTIVE EQUIPMENT <br /> `_?ill;,'"�'; [•�GI.OVES ❑GOGGLES [3 RESPIRATOR E3-HARD HAT <br /> TY-VE OTHER <br /> MAILING ADD�SSS ✓ +,I `` , ❑ ❑ ' <br /> CITY,STATE,ZIP = r SPECIAL HANDLING PROCEDURES: <br /> 1 <br /> _ Z4 <br /> PHONE- <br /> CONTACT <br /> HONECONTACT PERSON <br /> SIGNATURE OF,4UtHORIZED AGENT/TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY. <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • E3 DISPOSAL SOIL ❑ VVOOD gggg 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 /> IAIti�E f NOTES: <br /> ADDRESS TRUCK/NUMBER <br /> ADDRESS <br /> CITY,STATE,ZIP ,• f <br /> 1 PHONE.'' ..r , END DUMP_ BOTTOM DUMP TRANSFER <br /> SIGNATURE O AUTHORIZED 'GENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN -'DRUMS <br /> El <br /> 1 FORWARD INC. LANDFILL CUBIC ARDS .. , . <br /> 1 Forward shall have no oblication 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 DISPOSE ` SIO: AERATE SiOGlcPILE 0-MER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the . <br /> waste for any reason. If Forward's refusal to accept the waste is based on E] SOIL <br /> weather or other site conditions,Forward shall notify the Disposer when site <br /> conditions are expected to chance such that Forward will be able to accept <br /> the waste w _. E] SLUDGE <br /> KS � . <br /> REMAR �` z <br /> Ri <br /> NON-FRIABLE <br /> _ y ❑ ASBESTOS <br /> FACILITY TICKETNUMBERr:1, _ <br /> E] MOD <br /> � SIGNATiJR£OF AUTHORIZED AGENT.�_._�,W`' DATE- _,�� � <br /> ❑ ASH <br /> ❑ OTHER I <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> IF <br /> BJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE, <br /> SCHEDULE CALL (209)982-4298 <br /> MANIFEST# 57935 <br /> SALES COPY <br />