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��D NON-HAZh.,.,JOUS WASTE MANIFEST <br /> F41WWASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. Z-Z-17 <br /> G,!E�NERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> t' CDA —r/1J�J��- ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑,1ARD HAT <br /> MAILING ADDRESS - Irl ❑TY-VEK ❑OTHER <br /> (loo <br /> V,C_ <br /> CITY, STATE, ZIP SPECIAL HANDLING PROCEDURES: <br /> PHONE / <br /> CO1AT PERS <br /> SIG(J�1 ORIZED,AGENT / TITLE DATE <br /> WASTE TYPE RECEIVING FACILIl g# *` <br /> ❑ SLUDGE <br /> ATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> F-1CONSTRUCTIONSOIL F-1ASHASH ' <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY ?;;<', (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAMENOTES: I TRUCK NUMBER:> <br /> /11q-z <br /> AD`D1 !�ESSS y�'1 <br /> . <br /> QTY, STATE, <br /> HONE / END DUMP BOTTOM DUMP TRP.NSF <br /> Z61 _.am u' `BOG ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN ` DRUMS <br /> El <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> i <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 COMPLETED BY f ORWARD) <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 i <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 /> s <br /> REMARKS , <br /> ❑ NON-FRIABLE <br /> • FACILITY TICKET NUMBER / ASBESTOS , <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED- GENT DrTE, -, L ASH <br /> .. / .�-� � j `•\ / OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO :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 Dk(BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 � MANIFEST # 6536 <br />