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NON-HAZA 0US WASTE MANIFEST <br /> R /ARD • WASTE TR <br /> E1ENT AND DISPOSAL FACILITY <br /> lAi JOB ACCEPTANCE N0. <br /> NERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> f _/ _)( 6 z1, GLOVES ❑GOGGLES ❑RESPIRATOR [-I HARD HAT <br /> MAILING ADDRESS IaTY-VEK [-]OTHER <br /> L 4 L/ l 1 'l �' ��'L SPECIAL HANDLING PROCEDURES: <br /> CRY,STATE, ZIP <br /> PHONE <br /> CONTACT PERSON <br /> SIGNATURE OF AUTHORIZED AGEN !TITLE DATE <br /> WASTE jY RECEIVING FACILITY <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> El CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> rl�JIE NOTES: TRUCK NUMBER <br /> ADDAESSr f t <br /> '. CITY, STATE, ZIP <br /> PHONE � END UMP BOTTOM DUMP TRANS-F—EFT- <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROXFF(S) FLAT-BED VAN DRUMS <br /> 1 ❑ ❑ ❑ ❑ <br /> v I <br /> I <br /> FORWARD INC. LANDFILL CUBICYARDS/ <br /> Forward shall have no obligation to accept the waste if weather or other ( 7/ 1 <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 <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on I''l.e <br /> weather or other site conditions,Forward shall notify the Disposer when site La SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> NATURE OF AUTHORIZED AGENT DATE <br /> yJ / / ❑ ASH <br /> ❑ OTHER <br /> lCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> UBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> SCHEDULE CALL(209)982-4298 A 920 C <br /> MANIFEST# .7 L J <br /> SALES COPY '�F <br />