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" ���D NON-HAZ " `)OUS VVASTE MANIFEST <br /> WASTE TREmi v1ENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. /Z V G <br /> GENERATOR f REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> (,tijOOj� OKE []GLOVES []GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING A13DRESS. ❑TY-VEK []OTHER <br /> 06X 7S <br /> CITY,STATE,ZIPSPECIAL HANDLING PROCEDURES: <br /> . _ .,. <br /> PHONE _:. <br /> iF�7 37y G5'7L - ._ <br /> CONTACT PERSON. ;....; <br /> SIGNATURE OF,AUTHORI GENT MLE DATE <br /> 744 <br /> WASTE.TYPE.L: '._s°.._ _ ._ ._ _� - __ :._ -:� RECEIVING.FACILITY. <br /> J <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • Q DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> .. ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> _._ <br /> (209) 982- 1009 FAX <br /> NAME_... a.,: > NOTES i TRUCK NUMBER <br /> ADDRESS <br /> CITY,STATE ZIP._ � '* -"�'r 3• y-;- <br /> E <br /> PHONE �: ._ND DUMP BOT_.. _�. . TTM DUMP —.TRANSFER <br /> El <br /> _..._� _ . _ =_ ;:�.: .ti::. .. .s.;_.�... �� �. <br /> o <br /> SIGNATURE OF PTHORrap AGENT OR DRIVER IIaiE :, _ ; ROLL-OFF_(% 'FLAT-BED "-VAN DRUMS <br /> CUBIC YARDS <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 -' DISPOSE BIO AERATE ISTOCKPILE 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 r_VSOIL <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste. _ ❑ SLUDGE <br /> REMARKS <br /> _ .w _ _ - ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> -- ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> ). \ ' — I �'� ❑ 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 # 35028 <br /> GENERATOR COPY <br />