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NOWHAZ )OUS WASTE MANIFEST <br /> MRWARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> GENERATOR REQUIRED PERSONAL PROTECTNE EQUIPMENT <br /> y0 457/4 ❑GLOVES []GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING.ADDRESS _ _., ,_: ❑TY-VEK []OTHER <br /> '1 '7 I <br /> S5 . SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE..ZIP _ <br /> PHONE <br /> • i(� 3741 6vu 7Z. .- <br /> CONTACT PERSON <br /> Pj/L % /t;t 90AI/4 -> <br /> SIGNATURE OF AI.PiORIZIED]� T-/TRLE. -. DATE-.-. - . <br /> WASTEjYPE RECEIVING FACILITY._ <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑i\DISPOSAL SOIL ❑ woo0 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 _TRUCK NUMBER <br /> ADDRESS :u <br /> • CITY,STATE:ZIP _ �_. <br /> PHONE <br /> END DUMP_ x" BOTTOM DUMP TRANSFER . <br /> SIGNATUREOFAUTHC(RIZED.Ad6ff_ORbRIVER DATE _ ` .ROLL-0FF(S}. :rFI.ATBED 7 "",VAN DRUMS. <br /> CUSIC,YARDS.... <br /> FORWARD INC. LANDFILL /1 <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 X610 AERATE OIIIEA <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 <br /> the waste. ❑ SLUDGE <br /> REMARKS . .> ..t ._ - - - NON-FRIABLE <br /> • ❑ ASBESTOS <br /> FACILITY TICKET NUMBER n'� <br /> •- •- -- 1=.*w." r.� C] WOOD <br /> SIGNATURE OF AUTHORIZED AGENT - DATE-_ <br /> r\ ❑ ASH <br /> �C ! ❑ OTHER <br /> SEEL- <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT;O REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL _09) 982-4298 MANIFEST * 3 5 0 5 7 <br /> GENERATOR COPY <br />