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WARD NON-HAZE )OUS WASTE MANIFEST <br /> U WW WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> `L.�-�1 fir_ / � /� CIL) []GLOVES []GOGGLES ❑RESPIRATOR E]HARD HAT <br /> MAILING.ADDRESS ❑TY-VEK []OTHER <br /> r`� � F <br /> CITY,STATZIP SPECIAL HANDLING PROCEDURES: <br /> ' E. _ :. _ <br /> PHONE <br /> CONTACT PERSON <br /> SIGNATURE,,,OF AUTJ:40RIZED AGENT/TITLE DATE- <br /> WASTE <br /> ATEWASTE TrE RECEIVING FACILITY ` <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 /> -� (209) 982- 1009 FAX <br /> NAME NOTES .:.TRUCK NUMBER <br /> ADDRESS <br /> 1 <br /> • CITY,STATE,ZIP <br /> PHONE ENDUMP ...BOTTOMDUMP TRANSFER <br /> Q <br /> • • SIGNATU OF RIZED GENT OR DRIVER DATE ROLL=4FF(S) FLAT BED 'VAfu DRUMS <br /> ❑.._ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuBYaAEr, � - -,,,nom(-, : <br /> Forward shall have no obligation to accept the waste if weather or other s�hl 1 R C <br /> conditions impair the safe and effective disposal of the waste or if the wasteDISPOSAL METHOD: (T( 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 '. . +t�, • DISPOSE BIO AERATE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on _OIL <br /> weather or other site conditions,Forward shall notify the Disposer when site �J <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 /> S1G'NATURE OF AUTHORIZED AGENT _ DATE <br /> ❑ ASH <br /> ' l 1 <br /> Jl � I l`f ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE <br /> SUBJECT 7;0 REFUSAL jPr;N ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE •:.ALL i2'091982-4298 MANIFEST # 3 5 0 3 9 <br /> GENERATOR COPY <br />