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�� MORWAKU NON—HAZ"OUS WASTE MANIFEST�u►� 1 N O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. <br /> -GENERATOR .. EQUIRED PERSONAL_-. . EQUIPMENT <br /> V ._ CI, C(llT S RGLOVES QGOGGLES ❑RESPIRATOR ❑HARDHAT <br /> 'OTY-VEK ❑OTHER <br /> MAILING ADDRESS <br /> SPECIAL WWDLING PROCEDURES: <br /> CTY._STATF.Z{P, ._..:...._ .. : :.. <br /> . <br /> CO RSON _ w. <br /> ,SIGNATURE'.OF UTHORIZED AGENT/TITLE DATE <br /> Cux tM►- ��A�-t �t 6 l <br /> WASTE TYPE RECENING 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 /> • <br /> 91,OTHER MANTECA, CALIFORNIA 95336 <br /> • �Rw d ay S <br /> GEUEWNGfACIuTY- u ..G1R'cL = _ s-. (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> NAME NOTE$d.... .... ..._.._.. TRUCK NUMBER <br /> PHONE ENDPUMP—. ._. _-_„BOTTOM DUMP. TRANSFER. .. <br /> 13 <br /> 91GNAT E OF AUTH AGENF OR DRNFR,-., :DATE,;,;..,___.- . ROLL-0FF(S),.,• _;-.F1A_T-BED_. .;; .,VAN, . ,.,_DRUMS..-.. <br /> FORWARD INC. LANDFILL <br /> Forward ahaa have no obrgation to accept ft wade if weather or O&W <br /> condition impair the sale and effective deposal Of dw waste Or n the waste h .,MsPPOSAI_•METNOD: ;-(Tc7aE , mPLETEDSY FORWARD)' <br /> impairs the sate and affective operation of the trds0. Forward shall use ; BIG.,.: AERAlE t7THER,.'. <br /> reasonable efforts to promptly r"fy Disposer d ifs bllify to a=ept the `. . <br /> ___:.J::.:L: E _. ..._. <br /> waste for any reason. If Forward's rahmal to accept the wesle h based On . . <br /> weather or other site dondifiona.Forward stall rtotlty ew Dkpoer'*i aide [3 Sol <br /> conditions are enacted to change such that Formad wn be able to accept <br /> • - the waaeSLUDGETr <br /> REMARKS__ _ — <br /> ❑ ASSES SS <br /> FRCIL7ij^?1CI�T NUMBER _- ❑ Wt�OD <br /> _ _SIGNATURE.OFAIiFI-tf]FtIZEDAGENT.•:L_... :,^; D71TE__'_;. : <br /> ❑ ASH <br /> ❑OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 PJM-THE DAY PRIOR TO EXPECTED ARRIVAL a 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 MANIFEST,e 61081-D <br />