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NON-HAZAF'^SUS WASTE MANIFEST <br /> Fes' WARD WASTE TREATN,�NT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE N0: <br /> GENERATORr REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> L LAVI;E L (,j 0:).0. C/a ftS7-4 ❑GLOVES []GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS _. . ❑TY-VEK []OTHER <br /> -ro 3�/r �� Y SPECIAL HANDLING PROCEDURES: <br /> • CITY,STATE,ZIP <br /> • 7(0 JISj� �i <br /> PHONE _ <br /> CONTACT PERSON _. . ..._ <br /> SIGNATURE-6F AlENT f TITLE DATE_ <br /> WASTE,,FYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ' ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • S-DISPOSAL SOIL ❑ WOOD - 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> .. ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> (209) 982-4298 PHONE <br /> GENERATING FACILITY <br /> (209) 982-1009 FAX <br /> r NOTES; TRUCK NUMBER <br /> NAME r .. <br /> ADDRESS <br /> • CITY,STATE,ZIP _ <br /> - -• END DUMP.,_,.__,.,BOT OM DUMB N„�, TRAR <br /> PHONE C3 ❑ <br /> _ ;- --T <br /> SIGNATU OF AUTHORIZED AGENT OR DRIVER DATE -ROIl-0FF(S),. _ FLAT-8® VAN <br /> �� ❑ ❑ ❑ ❑ <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 DISPOSE BIO. sroo pU OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the — - <br /> waste for any reason. If Forward's refusal to accept the waste is based on ~ SOIL <br /> weather or other site conditions,Forward shall notify the Disposer when site <br /> • conditions are expected to change such that Forward will be able to accept ❑ SLUDGE <br /> the waste. <br /> ` REMARKS ^-:_... _ -._ NOWFRIABLE <br /> • ❑ ASBESTOS <br /> FACILITY TICKETNUMBER - _ ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT _-' DATEi T' ❑ H - <br /> Q. ` ❑ 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 SALL ;?09) 982-4298 MANIFEST # 35045 <br /> GENERATOR COPY <br />