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' NON-HAZ OUS WASTE MANIFEST IFS WARD i WASTE TRE ENT AND DISPOSAL FACILITY ' INC. JOB ACCEPTANCE NO. NERATOR � REQUIRED PERSONAL PROTECTIVE EQUIPMENT e /�' []GLOVES ❑GOGGLES ❑RESPIRATOR El HARD HAT MAILING ADDRESS ❑TY-VEK []OTHER CITY,STATE,ZIP kL SPECIAL HANDLING PROCEDURES: T PHONE _? )`I— 63: CONTACT PERSON z3e.664` ice^ SIGNATURE OF AUTHORIZED AGENT/TITLE DATE WASTE TYPE- RECEIVING FACILITY ❑ SLUDGE J TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH ❑ OTHER MANTECA, CALIFORNIA 95336 • GENERATING FACILITY (209) 982-4298 PHONE (209) 982- 1009 FAX AME NOTES: TRUCK NUMBER 4 7- ADDRESS . CITY,STATE, ZIP PHONE lEN DUMP BOTTOM DUMP TRANSFER SIGNATURE OF AUTH RIZEAGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED❑ VAN DRUMS FORWARD INC. LANDFILL CUBIC YARDS Forward shall have no obligation to accept the waste if weather or other conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BYFORWARD) impairs the safe and effective operation of the Landfill. Forward shall use BIO AERATE STOCKPILE '9THER DISPOSE reasonable efforts to promptly notify Disposer of its inability to accept the TE t .. waste for any reason. If Forward's refusal to accept the waste is based on [-SOIL weather or other site conditions,Forward shall notify the Disposer when site conditions are expected to change such that Forward will be able to accept the waste. ❑ SLUDGE REMARKS NON-FRIABLE � ❑ ASBESTOS FACILITY TICKET NUMBER ❑ WOOD GNATURE OF AUTHORIZED AGENTDATE L / ❑ ASH L ;Z- DATE h ❑ OTHER CHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE UBJECT TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY Bff I*E. TO SCHEDULE CALL (209) 982-4298 MANIFEST # 49203' SII