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t <br /> FW.,... WARD <br /> NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. <br /> GENERATOR REQUIRED PERSONAL kB TECTNE EQUIPMENT <br /> EaGLOVES 2GOGGL-S ❑RESPIRATOR 9ttARD HAT <br /> MAILING ADDRESS ❑TY VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> - PHONI <br />' CONTACT PERSON <br /> SIGNATURE OF AUTHOR D E / TITLE DATE <br /> WASTE TY _ _ _ - __- RECEIVING FACILITY <br />' ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD �4 <br /> CONSTRUCTION SOIL ❑ ASH <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATINGFACftJTY (209) 982-4298 PHONE <br /> (209) 982 - 1009 FAX <br /> 3Ya Nett,' s�:,JoAQ- ,✓. <br /> NAME GJR�lj ��}�,�,gfs � � NOTES: TRUCK NUMBER <br /> ADDRESS 2,3 37.1 <br />' CITY,STATE,ZIP _ST��,rf • A x a v5 <br /> . HONE END DUMP BOTTOM.DUMP _x_ TR/ i�aFER" <br /> P <br />` � ❑ _ ❑ <br /> . <br /> SIGNATL03E OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN., _DRUMS. <br /> - FORWARD INC. LANDFILL CUBIC YARD <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: (30 BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use M4� <br />' reasonable efforts to promptly notify Disposer of its inability to accept the '" ` DISPOSE MO-2 AERATE STOCKP[LE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions, Forward shall notify the Disposer when site F] 501E <br /> conditions are expected to change such that Forward will be able to accept <br />' the waste. SLUDGE <br /> - <br /> 7- <br /> =REMARKS � _~_�_ ___. . _ �__, ❑ <br /> ` =REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER __ <br /> - -- - --- ❑ WOOD <br /> - SIG-k&URE OF AUTHORIZED AGENT _ - DATE�� = <br /> - - — - ❑ ASH <br /> 7k ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR-TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS-ARE <br />' TSUBJECT TO O SCHEDULE CALL t PON ARRIVAL-x ONGOING DAILY DELIVERIES M4.UST BE SCHEDULED WITH THE LANDFILL 14 5 5 2 E DAY ORE. <br /> MANIFEST # <br /> GENERATOR COPY <br />