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NON-HAZ. DOUS WASTE MANIFEST <br /> -FM-BARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> /NC. JOB ACCEPTANCE NO. (/,//,/ - 2 v <br /> GENERATOR / REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> C�A 0 C lio'O o elf r f. [:]GLOVES ❑GOGGLES ❑RESPIRATOR []HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> PO& SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> PHONE <br /> CONTACT PERSON: _ <br /> . ��.L 114E �iC�JLl� <br /> SIGNATURE OF AUTHORR)�ED AGENT/TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • [ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> .GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> t� <br /> _-TRUCK NUMBER <br /> ADDRESS---*47. O-e,�.'02e� {--*"� - - - F ,71 <br /> CITY,STATE, <br /> PHONE -�/- .! END DUMP .__ .BOTTOM DUMP TRANSFER . <br /> ❑ ❑ <br /> SIGNATURE OF AUTHORIZED ATROEL <br /> GENT OR RIVER DATE . �, - -OFFS} FLAT BED VAN... D96MS <br /> N- <br /> FORWARD INC. LANDFILL / <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 _:.. DISPO BIO AERATE STOCKP E OTHER_ . <br /> waste for any reason. If Forward's refusal to accept the waste is based on 0— <br /> SOIL <br /> weather or other site conditions,Forward shall notify the Disposer when site lj l ` <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS :. <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> _ - ❑ WOOD <br /> S16NATURE OF AUTHORIZED AGENT DATE <br /> - - ❑ ASH <br /> i f4 ❑ 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 1,209) 982-4298 MANIFEST # 35022 <br /> GENERATOR COPY <br />