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WARD NON-HAZARDOUS WASTE MANIFEST <br /> FORWASTE TREATMENT AND DISPOSAL FACILITY <br /> 1NC. JOB ACCEPTANCE NO. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> C 'E�/ GLOVES E21GOGGLES [:]RESPIRATOR QI ARD HAT <br /> MAILING ADDRESS., ❑TY-VEK ❑OTHER <br /> :5�j 4, SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> PHONE <br /> CONTACT PERSON- <br /> SIGNATURE-O_ F'AUTHORIZED ENT!TITLE DATE <br /> - v - A)a) <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NOW FRIAB LE'ASBESTOS FORWARD INC. LANDFILL. <br /> E�KZISPOSAL SOIL ❑ WOOD 99,99 Sp�T -AU' T ROAD <br /> E] CONSTRUCTION SOIL r_1 ASH <br /> 1 ❑ OTHER - MANTECA, CALIFORNIA 95336 . <br /> a <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME NOTES. TRUCK t4UMBER <br /> ADDRESS <br /> • GITY,STATE,ZIP _ <br /> 5/GC,�_w C� JJq�c�S <br /> PRONE END DUMP BOTTOM DUMP TRANSFER <br /> El <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DR <br />' - El El 1:10 <br /> 7k G, tiv J S <br />' FORWARD INC, LANDFILL CUBIC YARDS <br /> �7 <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: O 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 ❑ 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 /> REIVIARKS ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br />' _ __ - __.--_ -F WOOD <br /> - SIGNATUFiEAAUTHORIZED AGENT 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 /> SU JE TD LE CALL(09}982-4298L <br /> X 298 ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> MANIFEST# 14 5 4 7; <br /> GENERATOR COPY <br />