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WARD NON-HAZAF JUS WASTE MANIFEST <br /> FMWASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. <br /> GENI�Xyc- <br /> n REQUIRED-PERSONAL PROTECTIVE EQUIPMENT <br /> L�7� � f-t- []GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAI G A DRESS ❑TY-VEK []OTHER'�., ,nom <br /> • CITY TATEG SPECIAL HANDLING PROCEDURES: <br /> • SIU Y!`�n- _ __. . . ... -- ._ ,..„�..,�.�.:.-- <br /> PHONE <br /> CONTACT PERSON b <br /> SIGNATURE OF AUYH RIZEE�rAG /TITLE DATE _ <br /> W TEPE _ _ RECEIVING FACILITY <br /> LL ❑ SLUDGE <br /> • ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • O-DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> •• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY -4298 PHONE <br /> 4b1c �Lov (209) 982- 1009 FAX <br /> NAMENOTES: TRUCK NUMBER <br /> ADORESs7 <br /> •.CITY,STATE,ZIP. <br /> _ -... .,. .. ,_Z..'. :.,. <br /> PHONE r END DUMP= BOTTOM DUMP. TRANSFER <br /> --s—. - El ❑ <br /> SIGNATURE�F UTHQRIZED AGEurOR DRIVER DATE~:: ROLL-OFFS}7- ' FLATBED V/W'. DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL - cuelcYARDs .w - <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 FORWARD) <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 I _ OTHER <br /> . c �.. . .. _ <br /> waste for any reason. If Forward's refusal to accept the waste is based on SOIL <br /> weather or other site conditions, Forward shall notify the Disposer when site <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS T <br /> • _ NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER. _ <br /> ❑ WOOD <br /> SIGN/ TORE OF AUTHORIZED AGENT - DATE <br /> ❑ ASH <br /> 7�C L I '" l ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 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 DAY BEFORE. <br /> TO SCHEDULE CALL (209) 982-4298 MANIFEST * 35016 <br /> GENERATOR COPY <br />