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WARd NOAAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. I <br /> GENERATOR 9 <br /> T?fD[T.��.i�__,'; - REQUIREQPERSONALPROTECTNEEQUIPMENT <br /> MAILING ADDRESS ❑GLOVES ❑GOGGLES ❑RESPIRATOR <br /> 4U U Sfl]-�?. Ave. ❑TY-VEK ❑OTHER CHARD H, <br /> - <br /> CITY, STATE, ZIP SPECIAL <br /> SPECIAL HANDLING PROCEDURES: <br /> • <br /> :.cs raLos, CA ati010 <br /> PHONE <br /> CONTACT PERSON p <br /> � / `fin ✓ <br /> SIGNATURE OF a(I <br /> TITLE DATE IDATE.1 <br /> WAS - <br /> FE i <br /> RECEIVING FACILITY <br /> ❑ TREATMENT SOIL ❑ SLUDGE <br /> • ❑ DISPOSAL SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> El CONSTRUCTION SOIL C1 WOOD <br /> ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ <br /> GENERATING FACILITY OTHER MANTECA, CALIFORNIA 95336 <br /> 75 a_wi o {. (209) 982-4298 PHONE <br /> ° (209) 982- 1009 FAX <br /> NAME <br /> ? ` ' f NOTES:ADDRESS TRUCK NUMBER <br /> •.CITY,.STATE,ZIP` / <br /> 9 %-i T 6Rs <br /> PHO E, <br /> ifl —L j v_ ENDDUMP , BOTTOMDUMP TRANSFER' <br /> SIGNAT OF UTHORI ENT OR DRIVER DATE ❑ ❑ <br /> ROLL-OFFS} FLAT-BED VAN. DRUMS <br /> J <br /> FORWARD INC. LANDFILL cuBicYaRDs_;. <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 <br /> impairs the safe and effective operation of the Landfill. Forward shall use DISPOSAL METHOD: (TO'BECOMPLETEDB.Y-FORWARD) <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 ` DISPOSE BIO AERATE STO_CKRILE? OTHER_ <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. <br /> REMARKS ❑ SLUDGE <br /> FACILITYTICKET NUMBER" _ ❑ NON-FRABLE <br /> ASBESTOS <br /> SIGNATURE OF AU ORI AGE - ❑ WOOD <br /> _ DATE <br /> <; -- ,\\ /l - :. ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST MADE PR <br /> SUBJECT TO REFUSAL <br /> IOR TO 4:00 P.M. THE DAY PRIOR MUST BE SCHEDULED WITH THE TO EXPECTED ARRIVAL • ANY UNSCHEDULED <br /> TO SCHEDULE CALL (209) gg2_g298 LOADS ARE <br /> UPON ARRIVAL ONGOING DAILY DELIVERIES LANDFILL THE DAY DS RE. <br />