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1 ' VltvVif[ NON-HAZARDOUS WASTE MANIFEST <br /> IN CO R POR ATE WASTE TRE ENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. F771811 <br /> GENERATOR <br /> IrREOUIRED PERSONAL PROTECTIVE EQUIPMENT. <br /> � Ali`Yea&Ste'�� [@GLOVES ❑GOGGLES ❑RESPIRATOR HARD HAT,NIAtLIIVG ADORES$. . <br /> G Rom s , ❑TY VEK [I OTHER <br /> CRY,STATE,ZIP..', SPECIAL HANDLING PROCEDURES: <br /> Bes&626CA 94$ <br /> l <br /> (7Q7}74;`-2355 ° <br /> tAN PERSON <br /> I� f / <br /> aSGIdATU 4F AlJ I D.. DATE t <br /> w4,S7 E TYPE ! RECEIVING FACILITY. <br /> '. ❑ TREATMENT SOIL ❑ SLUDGE <br /> WOOD NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSAL SOIL <br /> CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 21-9_wmf nudlis'4Va 'Wrow (20 9) 982- 1009 FAX <br /> ;l�II1ME TRAC�LIC. . TRUCK NUMBER . <br /> 1 3 ; s e5I ? Ore J <br /> ADDRESS TRAILER LIC.# fft11 <br /> Inc*::O x 573 It -7 i' <br /> 'CITY,STATE,ZIP TRAILER LIC.# , <br /> B-t 2CA 94514 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ <br /> SIGNATURI; �AUZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BEDVAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other L/ <br /> conditions impair the safe and effective disposal of the waste or if the waste <br /> impairs the safe and effective operation of the Landfill. Forward shall use DISPOSAL METHOD: (TO BE COMPLETED BY FORV4IARD) <br /> reasonable efforts to promptly notify Dispo§er of its inability to accept the �r DISPOSE SIO I AERATE SMCKPtLE 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. E] SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE F ZE GENT k DATE <br /> j! _ ❑ <br /> ASH <br /> ' ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPEC'T'ED 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)982-429$ <br /> INH)a-86 SALES COPY MANIFEST# C <br /> POI(C951� �r`,a 4 <br />