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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 /> ®GLOVES GOGGLES ❑RESPIRATOR ®HARD HAT <br /> MAILING ADDRESS - - ❑TY-VEK [:]OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> • SAS ��,.��,�___. - �ys�� - -- -_�— __ �- ;, <br /> PHONE <br /> CONTACT PERSON <br /> SIGNATURE OF AU RIZED AGENT_ /'TITLE DATE <br /> WASTE TYPE RECEMNG FACILITY <br /> t ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • R DISPOSAL SOIL EI WOOD ' <br /> ❑ CONSTRUCTION SOIL [:] ASH 9999 SOUTH AUSTIN ROAD <br />' ❑ OTHER MANTECA, CALIFORNIA 95336 . <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> Sys ��� si3�3�A � y (209) 982- 1009 FAX <br /> "5To./[-w-� eA 95-2d z <br /> NAME /q .. NOTES: TRUCK NUMBER <br /> Y <br /> ADDRESS <br /> •,CITY,STATE,ZIP <br /> SjOcfflua! CA .T7.�ur _ �_ _ <br /> PHONE _ END DUMP BOTTOM DUMP TRANSFER <br /> 1 <br /> SIGNATLjqE OF AUTHORIZED.AGENT OR DRIVER -DATE ROLL-OFF(S) FLAT=BED VAN DRUMS <br /> IIIIIIIIIIIIIIIIIIIIIII . <br />' 'FORWARD INC, LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other „Z u R, <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: TTO 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 610 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 notifythe 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_ - - - -_�-_- ------ - -- ❑ 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 DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST# 14 5 5 9 <br /> GENERATOR COPY <br />