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WENDT CONSTRUCTION 2095479912 04/17/04 09:56am P. 004 <br /> NON-HA ARDOUS WASTE MANIFEST <br /> 1� WASTE TREATMENT AND DISPOSAL FACILITY <br /> INCMRWARD <br /> JOB ACCEPTANCE NO.I <br /> I <br /> E0 ,' RE.QU�REq PERSQNAI�PRQTECTIUQUI?ls� I�lT._ ;. <br /> L.I ? i-kn1z_ 4K `j i>J to ®LOVES GOGGLES []RESPIRATOR ❑HARD HA- <br /> !LJG\A D�rys{ESS "°` T TY-VEK nGrHER <br /> GITY;STATFSIP ',ti ? SPECIAL HANDLING PROCEDURES: <br /> cx� Gp� G S Z q <br /> PIiON.E . P �(otom( 1A-z___ <br /> c"'Y7- <br /> CONTACT,PE SON,a�=��" _ <br /> e. u• <br /> SIGNATURE OF AUTF{QRIZi AGENT/ TITHE pATE'' <br /> RECEIVING FAqIi <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL F1 NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL 501E ❑ wooD 9999 SOUTH AUSTIN ROAD <br /> -1 CONSTRUCTION SOIL ❑ ASH <br /> OTHER MANTECA, CALIFORNIA 95336 <br /> GENiATINaFACILY (209) 982-4298 PHONE <br /> IzZS e t4]Ck�e\L (209) 982-1009 FAX <br /> ry <br /> _e, <br /> NAMdCP!, Rr...S'»mr$an aitraa'#W.:<•";"tt..+" _s .. .a,vn.. ,.3 ..rrYL�S-L: Sl4ou,a+,zv,w».ir .. • 'v&r <`ab,-...RWW '{YLI ©EI a <br /> ADDRESS <br /> � -y��`y� rSr�{f 6,® Com"%." /' ..} • ry y',7 .. <br /> .CITY.,STATE,QIP . <br /> PHONE END DUMP 80TTOM DUMP TRANSFER <br /> Sq-7-53 16 ❑ ❑ ❑ <br /> SIGNATURI=(�F AU�HdR1ZED AGENT OR DRIVER QATE:' ROLL-OFFS) FLAT-BED ,' ; VAN.", DRUMS <br /> ❑ ❑ ❑ ❑. <br /> CUBIC YARDS " ; "s <br /> FORWARD I " LANDFILL <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 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 STOCKPttE 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 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 /> FACILITY TiNUMBERy : ' ASBESTOS <br /> ❑ WOOD <br /> GNATURE OF h IZEI?AGENT DATE <br /> ❑ ASH <br /> f HER <br /> SCHEII INE MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS AR! <br /> SUBJECT TO REFUSAL UPON ARRIVAL,ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORt <br /> TO SCHEDULE CALL(209)982-4298 <br /> MANIFEST# <br /> 20688' <br />