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ON—HAZP," OUS WASTE MANIFEST <br /> WARD WASTE TRE <br /> R )�ANENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. <br /> GENERATOR REQPIRED PERSONgL;PROTECTIVE EQUIPMENT <br /> I f i i(: 1'r= ' t'.:: i :'. I ..i i:. ❑GLOVES ❑GOGGLES [:]RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK []OTHER <br /> I 1 r f SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP � : <br /> .l= W.' <br /> =�IPHONE <br /> r•�t ...I k'_i .I � ' <br /> CONTACT PERSON <br /> I <br /> r" S[GNATtIRE,OF AUTHORIZE AGENT/TITLE DATE" <br /> , ; <br /> t. <br /> WASTE TYPE RECEIVING FACILITY_...._ <br /> rte! ❑ SLUDGE p <br /> ❑ TREATMENT SOIL ElNON-FRIABLEASBESTOS FORWARD INC. LANDFILL <br /> ;-zil <br /> ❑ DISPOSAL SOIL ❑ wooD 9999 SOUTH AUSTIN ROAD <br /> TO ❑ CONSTRUCTION SOIL ❑ ASH <br /> If ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> ►thi'.•:,.,i. e _i :: . L'Iitfi: (209) 982-1009 FAX <br /> TNAME NOTES:. TRUCK NUMBER <br /> � .. i._ i'iLI:i t:r � . iii <br /> DDRESS_ CITY,STATE,ZIP <br /> ' PHONE END DUMP - BOTTOM DUMP. TRANSFER <br /> 111. _ .:�- I.�.l•� C] E] 11 <br /> SIGNATURE OE AUTHORIZED AGENT OR DRIVER DATE _ _RQLI_-OFFS) - ,j:LAT BED VAN_. ..,.DRUMS <br /> FORWARD INC. LANDFILL cuaIc PARI?s.. :..__ _:� — <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the sale and effective disposal of the waste or if the waste <br /> impairs the safe and effective operation oothe landfill. Forward shall use DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br /> I reasonable efforts to promptly notify Disposer of its inability to accept the _ DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason. It Forward's refusal to accept the waste is based on SOIL <br /> r► 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 /> w ASBESTOS <br /> FACILITY TICKET NUMBER _._,......- <br /> _ ❑ WOOD <br /> ►= SIGNATURE OF AUTHORIZED AGENT DATE <br /> --- -- -•• ----- - -. .._..�..�..... ❑ ASH <br /> ❑ OTHER <br /> SCHEDUUNG 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(208)082-4298 0 <br /> MANIFEST <br /> SALES COPY <br />