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NON-HAZE )OUS WASTE MANIFEST <br /> ARD,1 WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. — �/ <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> C1i (�w vLlO /�1 [:]GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING_ADORESS -_ x. _ ❑TY-VEK [_ OTHER <br /> P0 'Y — ! - SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE.ZIP s T `� _ d <br /> • <br /> CONTACT PERSON <br /> Vii« <br /> SIGNATURE OF AUTFJORIZED"AGENT•/TrFLE DATE <br /> 1412 7/j, :y <br /> WASTE TYp�_ �. RECEMNG FACILITY <br /> J ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • E] DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> • ❑�CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FAc1LITY.. ,:; _.� .- (209) 982-4298 PHONE <br /> CCS (209) 982- 1009 FAX <br /> . ..rNOTES: TRUCK-NUMBER <br /> .NAME --- _ . <br /> ADDRESS <br /> • GITY,STATI ZIP ! '' .:<:� a :7,75, <br /> PHONE _ °' k" ;. -' END DUMP`. BOTTOM DUMP _ _TRANSFER <br /> .._-2 t4.a•vI ?.r. ^ 4 _ ...i'AYZ.`.+�f4..+'7wrt""Y�IxT.R4'a.Y. Y,. a-.- -- <br /> 0 <br /> - <br /> ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORI AGENT OR DRIVER~ DATE ROLL-0FF(S} : ^ FLAT-BED s VAI� DRUMS ; <br /> FORWARD INC. LANDFILL C"Blc,r�w°s' -- . .. <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 _ _. DfSPOSE 12110 :; AERATE OTFiEA <br /> waste for any reason. If Forward's refusal to accept the waste is based on ref SOIL <br /> weather or other site conditions, Forward shall notify the Disposer when site CJ <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> �,� g ❑ ASBESTOS <br /> FACILITY TICKETNUMBER <br /> ❑ WOOD <br /> SIGI ATL}REOFAUTHORIZED AGENT <br /> ❑ ASH <br /> *i �' v ❑ 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 DAIL`f DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (209)982-4298 MANIFEST # 35029 <br /> GENERATOR COPY <br />