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NON-HAZA OUS WASTE MANIFEST } <br /> RWA <br /> FORD U <br /> WASTE TREA ENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE 140. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT t <br /> r•. '. ! . ..� f f`; - _.. :1 i.' ; <br /> DG LOVES ❑GOGGLES [3 RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> „`'CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> 4, . <br /> r^, PHONE <br /> lYi• - r 1 I = r ` f r <br /> (, CONTACT PERSON <br /> ' SIGNATURE OF AUTHORIZED.-AGENT./ TITLE DATE <br /> WASTE TYPE. _ ..: _ :.- RECEIVIhIG FACILITY..:..;_.._ . . F <br /> [r , <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 _ _.._ »....... rI`l9rES.. ...._ ..ti.�_ ....�,.. _..TRUCK NUMBER <br /> ! ADDRESS _ J )t 1' <br /> CITY,STATE,7.IP. <br /> PHONE SND DUIytP BOTTOM DUMP -.TRANSFER <br /> SIGNATURE OF.AUTHORIZED AGENT OR DRIVER : DAE_ :._ ,ROLL-0FF(S� :w LAC BED__ _ __ VAN, _ DRUMS.._ <br /> .� -T ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other ill <br /> conditions impair the safe and effective disposal of the waste or if the waste <br /> impairs the safe and effective operation of the Landfill. Forward shall use pISpOSAI METHOD: . :^ {TO BE COMPLETED.BY FORWARD) <br /> n reasonable efforts to promptly noir Disposer of its inabilit to accept the _ ,,,�;_ f. QISP} E 'BIO. AERATE STOCKPILE OTHER.- <br /> waste v � v .�. ___ - . . . .--- - <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 wilt be able to accept <br /> . the waste. ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBERWOOD <br /> _ <br /> s SIGNATURE OF AUTHORIZED AGENT_.:, : .r__.. :._ DATE ;__ <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 /> SU13JECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (200)982-4298 14348 <br /> MANIFEST # <br /> } <br />