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WA RD NON-HAZARDOUS WASTE MANIFEST <br /> INC. WASTE TREATMENT AND DISPOSAL FACILITY <br /> p - JOB ACCEPTANCE NO. 93 -- y <br /> GENERATOR r4' + `« =s, rr , r, REQUIRED PERSONAL PROTECTIVE EQUIPMENT�' rM, <br /> Z�AEOSS' ❑❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD NAT <br /> MAILING ❑TY-VEK OTHER <br /> CITY,STAT Z '" SPECIAL. HANDLING PROCEDURES <br /> -' <br /> PHONE <br /> isD rl .41/V ! <br /> F1 <br /> CONTPER ON - <br /> r �!r e" VIE'l <br /> O1t�'SIGNATURE f� _ AGENT /TITLE DATE <br /> Fr W T FE r a F RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> EI-61SPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> k <br /> (209) 982- 1009 FAX <br /> NAME _ f NOTES <br /> « <br /> ADDRESS <br /> ; CITY, STATE, ZIP , <br /> PHONE "x END DUMP BOTTOM DUMR,,; , JRANSF�ERV, <br /> - SIGNATURE OF AUTHORIZED AGENT OR DRIVERT, DATE - r ROLL-OFF(S)OFF to AN�� ' rDR Sj' j` <br /> „;FLAT BED , <br /> El <br /> i - <br /> FORWARD INC. LANDFILL CUBIC YARDS �,I , �r� �� r �� • zr <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 METH D (TO BE COMPLEcTED'BYfFORWARD)f <br /> impairs the safe and effective operation of the Landfill Forward shall use +. „ !�,Wi k r•e ;ti „wry rte, r <br /> ` ' ''" "` D SP0SE F Bf0 ' AERATE STOCK LE HER <br /> +i reasonable efforts to promptly notify Disposer of its inability to accept the � <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> n 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 ❑ <br /> SLUDGE <br /> �t REMARKS, * °3€,; r, <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER rZ ASBESTOS <br /> . 1,j N4 <br /> _ ElWOOD <br /> SIGNATURE OF AUTHORIZED AGENT7" 7 ` DAT_t7, <br /> 1 ❑ ASH <br /> 1 . r <br /> .a 1 ❑ OTHER <br /> `)''f trial II_ING MUST VE MAI)F r f,l()R 10 d (1() P M 1 f IE I)AY I'fil()fl f() f=Y,r,r i rr 1) ARRIVAL_ + ANY UNSCHEDULED LOADS /IRE <br /> r,I lr, ICcI r 10 AErUSAL UPON ARRIVAL_ ONGOING DAILY DEI-IVF f,lr_S MI LS r rI[ SC:I II-DULED Will] THE LANDFILL THE DAY BEFORE <br /> 10 SCflr-DULE CALL (209) 482-4298 5 0 8 9 <br /> MANIFEST # <br /> 1 RMIS►'Urt 1 Fn G(jf'Y <br />