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' NON-HAZARDOUS WASTE MANIFEST <br /> wA � WASTE TREATMENT AND DISPOSAL FACILITY <br /> 1Nr' JOB ACCEPTANCE N0. I. - _ - <br /> G�FFUERATOR REQUIREDE PERSONAL PROTECTIVE EQUIPMENT <br /> GLOVES .GOGGLES[]RESPIRATOR [ IABD HAT <br /> MAI�LING/ADDRESS f � - ❑TY-VEK ❑OTHER <br /> Gam. CfJ � ✓vf �ir/ �°�' -'Z'=�s`� - SPECIAL HANDLING PROCEDURES: <br /> ITY,STATE.ZIP - . •-- --_ - <br /> PHONE <br /> --- <br /> "710 <br /> CONTACT PERSON- <br /> SIGNATURE OF AUTHOR D AGENT/TITLE DATE <br /> WASTE TYPE' _ _._ __ RECEIVING FACILITY <br />' ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • p-DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br />' •• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br />' <br /> 7c,f �i/ ---1 (209) 982- 1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> ADDRESS <br /> CITY,STATE,ZIP _. <br /> PHONE _ END DUMP BOTTOM DUMP TRANSFER <br /> El <br /> .SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VANDRUMS -`� <br /> FORWARD INC. LANDFILL cuBlc 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 COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use DISPOSE O AERATE 5TDCtCPIIE 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 ❑ 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 /> MA <br /> ' RERKS NON-FRIA6LE <br /> _ _ _ —. ---_ ; .__ ❑ ASBESTOS <br /> FACIl1TY,TICKET NUMBER - _ - __T— .- <br /> - - IZAG— NT — _ El WOOD <br /> SIGNATURE OF AUTf4bRED E . DATE' <br /> -- _ _ _ r ❑ 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 # 14564 <br /> GENERATOR COPY <br />