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• NON-I�ZARDOUS WASTE MANIFEST <br /> �'" <br /> R WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> /NC• JOB ACCEPTANCE NO. - 3 <br /> GENE7ADDRE <br /> REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> �� ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILINS ❑TY-VEK ❑OTHER <br /> Ashler a.ve. <br /> CITY, SPECIAL HANDLING PROCEDURES: <br /> • iia0PHONCONTAN`SIGNAUTHORIZED AGENT/T1TLE DATE <br /> �C r , v ,J,•.n�`_rvrOnLC3CLJ^ %r-:;�, <br /> • WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY - (209) 982-4.298 PHONE <br /> 1 (209) 982- 1009 FAX <br /> NAME NOTES: TRUCK NUMBER <br /> h,GGWr �/ / I <br /> ADDRESS j � -7 <br /> may, / <br /> CITY, STATE, ZIP <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> f-ia GAY tS.S 2 ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER .DATE ROLL-OFF(S) FLAT-BED VAN_ DRUMS <br /> * IAA, , <br /> /� 11 - _ _ - El El El <br /> FORWARD INC. LANDFILL CUBIC YARDS _ <br /> L <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 8E 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 BIO. AERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions. Forward shall notify the Disposer when site SOIL <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 TICKET NUMBER ASBESTOS <br /> - - <br /> El WOOD <br /> SIGNATURE OF AUTHORIZEEL AGENT DATE <br /> ❑ ASH <br /> C1 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 SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209) 982-4298 A 7 G 7 1 <br /> AAAAIICC CT .v. <br />