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i <br /> -HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. = 211 <br /> GE,I,JERATOR I REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> G ,: � /J CJL C ` �., ` []GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> (LING DRESS Di ❑TY-VEK ❑OTHER <br /> j : r-• r• <br /> CIT',STA 21P SPECIAL HANDLING PROCEDURES: <br /> • /� ^J � �T Sof;t i <br /> PHONE <br /> Y'. .2/ <br /> -�r - 33 i <br /> • ( P-ARSON <br /> ic- r <br /> SIGNA�OF AUTH'bIRIZED AGENT/TITLE DATE y7 <br /> • WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • [l.- SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ElCONSTCONSTRUCTION <br /> CTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> D <br /> NOTES: TRUCK NUMBER <br /> ADDRESS <br /> CITY, STATA ZIPV7 f5 Ij <br /> ( _ <br /> PHONEI END DUMP BOTTOM DUMP TRANSFER <br /> �\ t El Er ElSIG ATURE�AUi'0f ZED AGENT OR DRIVER JDATE <br /> 7 ROLL-OFFS) FLAT-BED VAN DRUMS <br /> f _ 1 f 7 ❑ ❑ ❑ ❑ <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: (TOB P E,D 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 i DIS?OSE BIO RA KRLE 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-FRMLE <br /> ❑ <br /> FACILITY?ICKET741.1MBER ASBESTOS <br /> , <br /> ❑ WOOD <br /> SIGNATLIFIEWF 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 TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 - <br /> MGNIFFRT A6 ^ <br />