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OR ARI) NON-HAZARDOUS WASTE MANIFEST <br /> • <br /> INCORPORATED- WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. L - - <br /> CSE R E ' REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> NT <br /> �a C ' ❑GLOVES ❑GOGGLES ❑RESPIRATOR [)HARD HA <br /> - - <br /> tom, ❑TY-VEK ED OTHER <br /> CRY, TE,ZJ Lion <br /> SPECIAL HANDLING PROCEDURES <br /> PH 5--�O�L4 '6 5(0'pl <br /> -PER I <br /> SIC�NATURg Ailtr; I AGENT�i�,nme DATE <br /> WASTE TYPE - RECEIVING FACILITY - <br /> ❑ TREATMENT SOIL ❑ SLUDGE <br /> C3 DISPOSAL T S ❑❑ NNON-WOOD IABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCK PILE OTHER MANTECA, CALIFORNIA 9533P <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> ` e- A , - (209) 982- 1009 FAX <br /> s <br /> -.�'•. .�� ..,�~ r •,.:k;rtr., TRACTOR LIQ'# W702.2- - TRUCK NUMBER <br /> TRAILER LIC # G 5� <br /> - CRY 7E �O� l C)4 <br /> ��5i� TRAILER LIC.� <br /> PHONE 1f <br /> END DUMP BOTTOM DUMP TRANSFER <br /> TU ❑ 0 ❑ <br /> QF ORIZD AGF.Iy�OR DRIVER DATE ROLL-OFF(S) FLAB BEO" VAN DRUMS <br /> FORWARD INC. LANDFILLcualc YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditiortis i n w the safe and effective disposal of the waste or if the waste DISPOSAL METHOD. (TO BE <br /> unpaus the safe and effective operation of the Landfill Forward shall use COMPLETED BY FORWARD) <br /> reasonaW efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO I AERATESft]CKPtLJ= <br /> 4P OTHER <br /> waste for any reason ff Forward's refusal to accept the waste is based on <br /> weather or other Bite conditions,Forward shall notify the Disposer when site ❑ SOIL <br /> o change such that Forward will be able to accept <br /> conditions are expected t <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKED'NUMBER ASBESTOS <br /> ❑ <br /> ONATURE OF AUTHORIZED AGENT DATE WOOD <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 SCHE=DULED WITH THE LANDFILL THE DAY BEFORF <br /> TO SCHEDULE CALL (209) 982-4298 rFNFpATna r`nnv <br />