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' NON-HAZARDOUS WASTE MANIFEST <br /> WARD WASTE TREATMENT AND DISPOSAL. FACILITY <br /> INC. JOB ACCEPTANCE NO. T <br /> GENERATOR _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> �r9[ .GLOVES GOGGLES ❑RESPIRATOR S_ARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> ;2�iou r'.9.r� �/a f� ��- S•.•Ap SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE, ZIP _ _ <br /> w <br /> PS,� <br /> - HONt <br />' CONTACT PERSON - _ - <br /> �y� X <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> ., .. _ r 1 . <br />' WASTE TYPE _ FACILITY__ <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 /> w <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> 175�Z d <br /> NAME NOTES: TRUCK.NUMBER <br /> ADDRESS <br />' . • a 3 3 el-Al <br /> • CITY,STATE, ZIP _ <br /> • PHONE = END DUMP BOTTOM DUMP TRANSFER <br /> • j;'- <br /> SIGNATUP.E OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) _FLAT-BED VAN 6RUMS` <br /> ❑ ❑ ❑ ❑ <br /> / I <br /> FORWARD INC, LANDFILL cuslc YAR»s <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 E 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 bISPOSE 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 /> • REMARKS <br /> - NON-FRIABLE <br /> _ ___ -- _-- - - - _ _.. _- ❑ ASBESTOS <br /> FACILITY TICKET NUMBER �`-- - -- <br /> - <br /> [-] WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> - - __ - -- — — ❑ ASH <br /> 7�C- ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />' TO SCHEDULE CALL(209)982-4298 MANIFEST # 14 5 4 9 <br /> GENERATOR COPY <br />