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WARD <br /> NON-RAZ .. ,000S WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE N0. IC 1 M — 2 y u <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> []GLOVES ❑GOGGLES [:]RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK -]OTHER <br /> �d �5 <br /> CITY,STATE,ZIP - SPECIAL HANDLING PROCEDURES: <br /> • Qt 3 v'srq C14 <br /> PHONE _ <br /> 1-7c7 574 �U7 L <br /> i CONTACT PERSON <br /> i /C.L {L/ <br /> SIGNATURE OF AUTFjfdflilZED AGENTT TITLE DATE~ �� <br /> ell <br /> WAST�'TYPE RECEIVING FACILITY <br /> { <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • apISPOSAL 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 4 S r H G j tl NOTES: TRUCKNUMBER <br /> ADDRESS _. <br /> . CITY,STATE,ZIP <br /> • PHONE - ENO DUMP <br /> BOTTOM DUMP TRA S <br /> SIGNA OF AUTHORIZED AGENT OR DRIVER DATE, ROLL-OFF(S) FLAT-BED VAN DRU <br /> 11 <br /> 'FORWARD INC. LANDFILL cuBICYARDs <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 METRO : - (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 JAERATE SMCKPILE OTHER <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 <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> _ .. _-_ .. ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> :. - C] WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> /V ❑ OTHER <br /> SCHEDULING MUST 3E .MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL JPON ARRIVAL. ONGOING DAILY DEL WERIES MUST BE SCHEDULED WITH THE L.ANDFiLL THE DAY BEFORE. <br /> TO SCHEDULE CALL '209) 982-4298 MANIFEST ,,k35055 <br /> GENERATOR COPY <br />