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WARD NON-HAZA�OUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. - } <br /> JOB ACCEPTANCE N0. c 'Z 3 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑"ARD HAT <br /> NIAILIN ADDRESS ' /\' ( <br /> [:]TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE, ZIP _ <br /> • PHONE <br /> zc�_ l�ell = <br /> CONTACT PE SON - <br /> S U E A EtTAGENT / TITLE DATE <br /> • WASTE TYPE RECEIVING FACILITY: <br /> p SLUDGE FORWARD INC. LANDFILL <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS 9999 SOUTH AUSTIN ROAD <br /> • IS ❑ <br /> POSAL SOIL WOOD <br /> ❑ CONSTRUCTION SOIL O ASH <br /> OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NOTES TRUCK NUMBER - <br /> _ADDREW <br /> • CITY��,�TA'fEF�ZIP <br /> Cq� c7 - 2-z- <br /> PHONE1 <br /> r J END DUMP BOTTOM DUMP TF.\NSFER <br /> '7-'rEl�/1 - �GSn ❑ <br /> SIGNATURE 0FRIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-RED VAN I_RRMS <br /> � ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuBlc 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 COMPLETED BY =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 <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 /> • <br /> REMARKS <br /> Ei NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> S(GNATURV OF AL)THORIZEf� AGENT DATE <br /> ASH <br /> } - fi .� �..- �". —� OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOIING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 ' <br /> MANIFEST # 15440 <br />