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NO WASTE MANIFESTWAREF WASTE TRE ENT AND <br /> DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. <br /> NERATOR /, I REQUIRED PERSO AL PROTECTIVE EQUIPMENT <br /> /)irl � UCrL7(j��� GLOVES [:]GOGGLES ❑RESPIRATOR [-]HARD HAT <br /> MAILING ADDRESS TY-VEK ❑OTHER <br /> qff ,,S/TATE, ZIP SPECIAL HANDLING PROCEDURES: <br /> PHONE <br /> CONTACT PERSON <br /> nim. <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> r_1 CONSTRUCTION SOIL ❑ ASH ASH <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> /A -� <br /> E NOTES: TRUCK NUMBER <br /> /ft/ 7- <br /> ADDRESS <br /> CITY,STATE,ZIP - <br /> ! J;!L�l J <br /> PHONE END UMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED.AGENT OR DRIVER DATE ROL - FF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BECOMP(;ETES.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 AERATF, q]+•.DCKRLE 61}ERS, <br /> waste for any reason. If Forward's refusal to accept the waste is based on C] SOIL <br /> 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 /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> NATURE OF AUTHORIZED AGENT DATE _ <br /> ❑ ASH <br /> y l <br /> * r( 'l( f r i — h ❑ OTHER <br /> CHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> OBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> SCHEDULE CALL(209)982-4298 49204 <br /> MANIFEST# <br />