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i <br /> NON-HAZAPnr)US WASTE MANIFEST <br /> - WARD WASTE TREAT�IT AND DISPOSAL FACILITY' <br /> L <br /> INC. JOB ACCEPTANCE� IO.; <br /> -- <br /> GENEOR k t PERSONAL'.PROTECTIVE. <br /> CN_A_ -7 [RGLOVES ❑GOGGLES ❑RESPIRATOR HARD HAT <br /> AP%IWV ADDRESS ;, ?•` z ,:; .: x {;, �� �; ctr ❑TY-VEK []OTHER <br /> `rITY,STATE;.Z1P z�, xltJ, 1 s J4i . SPECIAL HANDLING PROCEDURES: <br /> Cq <br /> "ONTAa-PER50N � <br /> SIGNATURE OF AUTJ-10RIZED`AGE /TITLE; a , DATE <br /> ASTE.TYPE RECEIVING FACILITY. <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL ❑ WOOD <br /> ] CONSTRUCTIORSOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> aENERATI. FACILITY. .: (209) 982.-4298 PHONE <br /> (209) 982- 1009 FAX <br /> Ma a <br /> a ,� r 5J� dJ • T p _TRUC <br /> K NUMBER <br /> -bO 1 EJ- ..Jp v <br /> ..� / ?•�.1./� Y r.i 'L l '( -L 1 J•.Ll .,.2.'..•{J..._..E <br /> • jry �''� ,J ' . <br /> CITY STATE,:ZJP <br /> ...•'--��'r' w ---:.k P.....;.•.c�r,-r.rsx.:.-_.. ._.,.s .'i.�3_ti` [i'k.,:a,.�u,.r4a......_r, LENDDUMP ;80TTOM NSFER.,,.r <br /> �. , <br /> i.w _1 ..x. - ,._. ._ <br /> SIGNAT RE OF,A OR' AGENT OR DRIVER DATE ROL <br /> L-OFFS)- , FLAT B D: ;VAN r;;.DRUMS <br /> ❑ ❑ ❑ ❑ <br /> r <br /> FORWARD INC. LANDFILL ,cuacc;Ya, s 3r , y ,p:Y, �w <br /> Forward shall have no obligation to accept the waste if weather or other O <br /> conditions impair the safe and effective disposal of the waste or if the waste <br /> impairs the safe and effective operation of the Landfill. Forward shall useD15POSAL;' ETHOD (TO BE, SY FORWARD} <br /> reasonable efforts to promptly notify Disposer of its inability to accept the �� DISPOSE Vx810.;-�tiA>=RATE S1�CKPIIE OTH>=R? <br /> waste for any reason. if Forward's refusal to accept the waste is based,.orL_ --- <br /> weather or other site conditions,Forward shall notify the Disposer when site 'SOIL <br /> �� <br /> conditions are expected to change such that Forward will be able to accept- <br /> the waste. ❑ <br /> 1IvIARKS _Yt` SLUDGE <br /> ^ ❑ NON-FRIABLE <br /> �AgUTY�TICKE7�NUIvIB R t � ' `, :� r ASBESTOS <br /> _ ❑ WOOD <br /> SIGNATURE OF AUTHOF3IZE ';AGENT„' , <br /> =21' � DATE <br /> .. .... . . .�..T,.._. .__ C � � - �! ❑ ASH <br /> / ❑ OTHER <br /> i <br /> SiEDULING MUST BE MADE PRiDR TO 4:40 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> S ? 'ECT TO REFUSAL'+Pe:N ARRIII, l_.ONGOING DAILY DELIVERIES MUST 3E SC_"IEDULED '.KITH 7-'T <br /> f MANIFEST <br />