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Arld ft, NON-HAZ) )OUS WASTE MANIFEST <br /> uw- -WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE N0. ICMM — Z L/ <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ((��-IJ► C w Gc)D CA AS 7-,A [:]GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE:ZIP ; <br /> LJ157rI - <br /> PHONE <br /> 707 3 7V ,.-,,. ao Yn _ <br /> CONTACT PERSON - <br /> T3i�� <br /> SIGNATURE OF AL)THORIZED}CENT!TITLE DATE <br /> t ' / <br /> WASTE JJYPE 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 /> GENERAnNG FACILITY (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> NAME . NOTES: .. _ TRUCK NUMBER <br /> • CITY,STATE, ZIP <br /> .' vv�aLFi l/1 <br /> PHONE END DUMP ::. BOTTOM DUMP TRA SFER <br /> SIGNATURE OF AUTHORIZED AGENT OF DRI-VER--- DATE T� 7 ROLL-0FF(S) FLATBED VAN DRUM <br /> �k a� L -a 7 ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS.-.- >. �» <br /> Forward shall have no obligation to accept the waste if weather or other / t <br /> conditions impair the safe and effective disposal of the waste or ifthe 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 :' Ex SE. BIO AERATE 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. ❑ SLUDGE <br /> REMARKS - <br /> . ❑ NON-FRIABLE <br /> _ —• _ ... ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIdNAYURE OF AUTHORIZED AGENT DATE <br /> J ❑ ASH <br /> 'r�•, j ^ - -.� �l l f 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 (2091982-4298 '3 C r 3 d <br /> GENERATOR COPY MANIFEST # .�J <br />