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f <br /> ON-HAZAf .)US WASTE MANIFESTLRD E <br /> WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> jffiUC_ JOB ACCEPTANCE NO. 3 <br /> GENERATOR REQUIRED.PERSONAI PROTECTIVE EQUIPMENT <br /> []GLOVES El GOGGLES EI RESPIRATOR ❑HARD HAT <br /> MAILING ADDRE=SS ❑TY VEK ❑OTHER <br /> i - <br /> i it i is t. it <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: i <br /> PHONE 1 <br /> �I CONTACT PERSON L <br /> SIGNATUR AUTHORIZES�APENT/TITLE. DATE i <br /> WASTE TYPE y RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL <br /> :nt ❑ CONSTRUCTION SOIL p' ASHOD 9999 SOUTH AUSTIN ROAD <br /> �i p OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982--1009 FAX <br /> :+ <br /> NAME NOTi=S: : TRUCK NUMBER . <br /> _.. s = <br /> i,Y-1 N, :iot•I:. :ri:U _ ...Ei•a , ].G•4 . <br /> "¢h ADDRESS <br /> CITY,STATE,ZIP _ <br /> IELI'L'J . -n I5'32i, <br /> { PHONE END DUMP__.; _,�� OTTOM DUMP = :TRANSFER <br /> SIGNATURE QF AUTHORIZED AGENT OR DRIVER ., DATE t_. _ ROLL-OFF(S).._`_-:'..',FLAT-BED VAN _DRUMS <br /> -�j'I 1 •��v <br /> /h'3 <br /> FORWARD INC. LANDFILL cuBIC YARps <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the sale and elective disposal of the waste or if the waste DISPOSAL METHOD:: (TO BE COMPLETED BY FORWARD) <br /> impairs the sale and effective operation of the Landfill. Forward shall use <br /> n reasonable efforts to promptly notify Disposer of its inability to accept the -___' DISPOSE B_IO AERATE STOCKPILE OTHER <br /> waste for any reason. It Forward's refusal to accept the waste is based on ❑ SOIL <br /> n 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 /> a REMARKS <br /> NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> - ❑ WOOD i <br /> SIGNATURE OF AUTHORIZED.AGENT _. DATE ' µ- <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 12060 <br /> MANIFEST # <br /> SAI.FS MPY <br />