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' w NON-HAZARDOUS WASTE MANIFEST <br /> ■��RD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. - <br /> GENERATOR - _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> �fJC�f 2LOVES [BOGGLES ❑RESPIRATOR HARD HAT <br /> MAILING ADDRESS_ w - -- ❑TY-VEK ❑OTHER <br /> a SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE.ZIP <br />' • .,5,�.���N - - �.�, _ 9/ 83 . - - -- - - -- - _ .-. <br /> PHONE <br />' CONTACT PERSON <br /> SIGNATURE-OrAt) RI NT/ TITLE DATE <br /> YVOV <br /> W STE.TYP µ _ -_ _ RECEIVING FACILITY <br />' ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • RDISPOSAL SOIL ❑ WOOD 9999 SOUTH.AUSTIN ROAD <br />' ❑ CONSTRUCTION SOIL ❑ ASH <br /> ■• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME NOTES: TRUCK NUMBER <br /> ADDRESS _ <br /> . • CLTY,STATE,ZIP <br />' PH-NE LL. ._ END DUMP BOTTOM DUMP TQAN§FER <br /> El <br /> SIGNATURE OF AUTHORIZED AGENTOR DRIVER DATE ROLL-OMS) FLAT-BEIM VAN DRUMS <br /> FORWARD INC. LANDFILL CUBICYARDS, _ <br />' Forward shall have no obligation to accept the waste if weather or other f. _S <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO B 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 /> REMARKS <br /> ■ ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br />' - - - - ----= - --- - - ElWOOD <br /> - SIGNATURE OF AUTHORIZED AGENT 'DATE <br /> - - - - - - <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 T TO REFUSAL CALL UPON ARRIVAL <br /> 8 ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> CH <br /> MANIFEST # -14551. <br /> GENERATOR COPY " -- -- <br />