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LFg NON-HAZArj)US WASTE MANIFEST <br /> WARD <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTA14CE NO. �•� -- ' 1 <br /> i _ REQUIRED PERSQ!i PROTECTIVE EQUIPMENT . <br /> GENERATOR ., .. _ <br /> 1 .' L+_,t.l)•. is i.!.�' ' '..:i: ` �,et'] :_"E'r:' ❑GLOVES GOGGLES-❑RESPIRATOR HARD FIAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> CITY,STATE,ZIP I SPECIAL HANDLING PPOCEDURES: <br /> PHONE <br /> ft;( CONTACT PERSON _ <br /> SIGNATURE OF— <br /> UTHORIZED A EfyT / TITLE DATE <br /> / -r: <br /> WASTE TYPE .. RECEIVING FACILITY I_.. . ... .......... . <br /> . <br /> n ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL 501E ❑ wooD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> _:ii� I u{���t� E-`i :.�r' -1009 FAX <br /> F I•: A EIIUf. (209) 982 <br /> NAME NOTES:..::_. _ :.t>_a_:._:.-_.__. ._:. _ TRUCK NUMBER <br /> -.. ... <br /> ADDRESS _ .. <br /> CITY,STATE,ZIP _ <br /> PHONE _ — �. . SND Dr MP — BOTTOM DUMP.. ._ TRANSFER - <br /> El <br /> '= SIGNATURE OF-A TH0 IZED AGENT OR DRIVER DATE:.- ROLL—OFFFLAT—BED'BED' VAN . .DRUMS <br /> ❑ ❑ ❑ ❑ <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL iI} <<:-.t:� <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the sale and elleetive disposal of the waste or it the waste DISPOSAL METHOD:, .(TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use OiSPOSE BIO AERATE STOCKPILE OTHER <br /> n reasonable efforts to promptly notify Disposer of its inability to accept the _ .. _ <br /> -+ waste lot any reason- If Forward's refusal to accept the waste is based on <br /> rd weather or other site conditions,Forward shall notify the Disposer when site SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS _:.... N-FR <br /> ..... . .. ..._-_..-: _.-. ...._. NO !ABLE <br /> "� ❑ ASBESTOS <br /> ~ FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> �. SIGNATURE OF AUTHORIZED AGENT :-_... DATE <br /> •., :�-- <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 SCHE=DULE CALL (200)982-4298 MANIFEST # 12062 <br /> SALTS CONY <br />