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NON-HAZv-AD0US WASTE MANIFEST <br /> ze I NCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> GENERATOR �� _� REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> P r : '_ ! °� ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT' <br /> MAILING A dbESS ❑TY-VEK ❑OTHER �I <br /> CITY,STATE,ZIP ' t / SPECIAL HANDLING PROCEDURES: <br /> PHONE v v <br /> ' :;-5 �J� <br /> gowgj4g�_PZRS0N <br /> S(GNA;F i F AUTHOR)ZED AGENT / )PTLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ Tl fFATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • sNSOIL El WOOD SOUTH AUSTIN ROAD <br /> ❑ <br /> CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY „ (209) 982-4298 PHONE <br /> G /7_ _ (209) 982-1009 FAX <br /> NAMMMIg , NOTES: TRUCK NUMBER <br /> ADDRESS U <br /> CITY,STATE,ZIP <br /> 1�NE _ / END DUMP BOTTOM DUMP TRANSFER <br /> � (�moi' �l! ❑ �� ❑ <br /> SldM_ T_WE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <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 C0tdDLEfE6-BY FORWARD) <br /> 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 JSMCRRLP 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 f <br /> • REMARKS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TC REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (209)982-4298 r, <br /> MANIFEST <br />