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JfO <br /> ,1 NON-HA2- -.MENUS WASTE MANIFEST <br /> T <br /> �. WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC JOB ACCEPTANCE N0. <br /> GENERATOR SE4UIRED PERSONALS P80TECTIVE.EQUIPMENT <br /> J`� YT <br /> []GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> was 1 LN� SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> 7, 4 <br /> PHONE\ <br /> ) 1> 8157 <br /> ONTAZj P SOouNT�'^ - <br /> SI ATURELI=I ED AGENT /TITLE DA E " r: <br /> • W T TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITYv".',;;3,`i"; . (209) 982-4298 PHONE <br /> } ►Z`� Pa" (209) 982- 1009 FAX <br /> NAME 'NOTES: TRUCK NUMBE�R:.,.� <br /> ADDREI y C i � 54 <br /> �D <br /> CIIT�Y,,STAA Eb1Z P � , <br /> it D ..END D) MP BOTTOM DUMP TRANSFER <br /> (� 578 41vb El ElSI NATU OF AUTHORIZED.AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL cuBl yAgDs „ <br /> Forward shall have no obligation to accept the waste if weather or other <br /> coAditions 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 effectia operation of ,the Landfill. Forward shall.use - <br /> reasonable efforts to promptt.ndtify Disposer of its inability to accept the . ; DIPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason.,if Forward's refusal to accept the waste is based on tb(SOIL <br /> weather or other site conditions,Forward shall notify the Disposer when site Jt� <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 c, ❑ ASBESTOS, <br /> ❑ WOOD <br /> SIGNATVRE,.OF-AUTHORIZED AGENT t .' "? <br /> ❑ ASH <br /> U - �I: `�(o ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4.00 P.M. THE DAY iPRIOR.TO EXPECTED ARRIVAL • Ali 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 _ MANIFEST # 49 511 <br /> TRANSPORTER COPY <br />