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WARD NON-HAZARDOUS WASTE MANIFEST <br /> FWWASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE N0. cl <br /> 3ENERATORREQUIRED PERSONAL PROTECTIVE� EQ-IIPMNTwz ,'"�f� ;usa <br /> [:]GLOVES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDREES,S ❑TY-VEK [:]OTHER <br /> 2 <br /> CITY,WTE, SPECIAL HANDLING PROCEDURES <br /> PHONE <br /> F, zo S� <br /> ti CO CT-PjE 50N- <br /> S NAT OF AU OR E GE /TITLE ' ATE <br /> re <br /> WAS E TYPE RECEIVING FACILITY,, <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> k ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING,F CIUTY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME r., � NOTES` 40v,,� <br /> s� <br /> ADDRESSr •'r ,, _ - - - - <br /> 7/� I �x,'re' e'll CJ'/0111✓ <br /> CITY, STATE,ZIP, <br /> f �/,�� G-rccu� Esc <br /> PHOT < END DUMP ,,BOTTOM,DUMP K,,rte JRANSFER ! <br /> SIGN� r �ys�� _ <br /> TURE OF AUTHORIZED AGENT OR DRIVER`, , DATES'' ROLL-OFF(S) r,"tp FLAT-B EVANM- <br /> 1:1 <br /> -❑ ❑y ❑ ❑ <br /> C. LANDFILL CUBIC YARDS;s <br /> FORWARDN :� a � , � � e <br /> Forward shall have no obligation to accept the waste If weather or other /63, <br /> conditions impair the safe and effective disposal of the waste or if the wasteO BEtCt7MPLTED,F3Ys�d{�VARb ` <br /> DISPOSAL METHOD f�,;� A <br /> impairs the safe and effective operation of the Landfill Forward shall use , ,F-% ,5 , i r f ,, ,z kegs "s <br /> tf reasonable efforts to promptlynotify Disposer of its inability to accept the �"a'' �`' k DISPOSE X10 <br /> Y Y P <br /> waste for any reason If Forward's refusal to accept the waste is based on <br /> ti weather or other site conditions,Forward shall notify the Disposer when site ❑ SOIL. <br /> conditions aro expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> it REMARKS <br /> NON-FRIABLE <br /> FACILITY�t1dkt; <br /> ASBESTOS <br /> ff4UMBER" ' "°� ' "�" -` ' <br /> i �.��,tT�����`� ��'��r.'�.} ��Ctt ` r'�r�a�°.+t.sk�ra ,�z <br /> � <br /> E] WOOD <br /> SIGNATuRtAO AUtHORIZED AGEN '���`7"° ' V�' <br /> ❑ ASH <br /> � I -}- 7 rr ❑ OTHER <br /> S('IIFf)III ING MUST HE MAf)1= rnlrifi io d oo F, M rlIr I)AY ppIOIt 1() EYPFCIFF) AnRIVAI • ANY UNSCHEDULED LOADS ARE <br /> clI19 If-( t r() Pr-rtISAL I)Pnrl Anr ivAl Orl(i0ir10,OAll Y I)rl_IVI-f'Ir'r MIl`,I I11= ,( IIF DOLED WITII THE LANDFILL THE DAY BEF013E <br /> rf) SGtrt=r)ULE CALK. (209) 9132-49013 MANIFEST # 5086 <br /> TRANSPOME-n Copy <br />