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' NON-HAZARDOUS WASTE MANIFEST <br /> WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC' JOB ACCEPTANCE NO. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> [ B <br /> I c ADDRESS GLOVES OGGLES [:]RESPIRATOR iARD HAT <br /> _ . _ - ❑TY-VEK ❑OTHER <br /> oZG/ _ C,g rt %v �P,A�+�✓ _ - -- <br /> .CITYSTATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> , _ .. <br /> PHONE. . i <br />' coNtACT PERSON <br /> StG E OF RIZED AGENT / TITLE DATE <br />' •• � = Ire <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> • ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • [a-DSPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> !;fCC4ra- rp 1q5avz <br /> NOES: TRUCK NUMBER <br /> ADDRESS j �aq f N cARD� f�r✓i� <br />' . • CITY,STATE,ZIP <br /> PHONE aO5— �!�S- t,�$v 3 - _ END DUMP BOTTOM DUMP -TRANSFER . <br /> SIGNATURE OF AUTHORIZED AGENTOR DRIVER DATE ROLL-OFFS) 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 BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use DISPOSE BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ <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 ❑ SOIL <br /> • conditions are expected to change such that Forward will be able to accept <br />' the waste. <br /> ❑ SLUDGE <br /> • REMARKS <br /> NON-FRIABLE <br /> ASBESTOS❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br />' - _ ... _. ---- -- ❑ WOOD <br /> - SIGNATURE OF AUTHORIZED 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 /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DEUVERIES MUST BE SCHEDULED WITH THE LANDFILL THE <br />' DAY ORE TO SCHEDULE CALL(209)982-4298 <br /> MANIFEST# 14553 <br /> � _ GENERATOR COPY _ <br />