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' NON-HAZARDOUS WASTE MANIFEST <br /> VUWWARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> lNC_ JOB ACCEPTANCE NO. r <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ <br /> �eI1/7C P f� - GLOVES DGOGGLES ❑RESPIRATOR ['i-IARD HAT <br /> M�IILING ADDRESS _ _ _ ❑TY-VEK ❑OTHER <br /> SPECIAL.HANDLING PROCEDURES: <br /> CITY,STATE, ZIP <br /> PHONE. <br />' CONTACX'PERSON <br /> SIGNATURE OF AUTHORIZ D AGENT ! TITLE DATE <br /> WASTE.TYPE -- e _ , . RECEIVING FACILITY <br />' ❑ SLUDGE <br /> F1 TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ® DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br />' '• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • <br /> GENERATINGFACILITY (209) 982-4298 PHONE <br /> p4r"l` -,3-/` (209) 9g2- 1009 FAX <br /> NAME NOTES: TRUCK NUMBER <br /> • CITY,STATE,ZIP _ <br /> . PHONE' END DUMP BOTTOM.DUMP - TRANSFER <br /> . SIGNATUIOF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> El <br /> 4,0 <br /> FORWARD INC. LANDFILL t CUBIC YARDS <br /> ' Fprward shall have no obligation to accept the waste if weather or othery <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO C MPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use DISPOSE BI AERATE STOCKPILE OTHER <br /> ' reasonabie 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 E:1 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 /> ' __ .- -= _ - T _ ❑ WOOD <br /> - SIGNATURE 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 /> ' SU JECT TO CALL(209)9824298 REFUSAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> MANIFEST # 14563 <br /> GENERATOR COPY <br />