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ARD <br /> NON-HAL- . 00US WASTE MANIFEST <br /> F- ,WWASTE TREATMENT AND DISPOSAL FACILITY <br /> INC JOB ACCEPTANCE NO. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> L.l Ocl-, C!o Q S []GLOVES ❑GOGGLES ❑RESPIRATOR []HARD HAT <br /> MAILING ADDRESS ❑TY-VEK []OTHER <br /> t'G T <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> j - PHONE <br /> ' X07 37y (ov7Z <br /> I CONTACT PERSON <br /> i <br /> 13 C-L :-rc9 <br /> SIGNATURE OF ALITOS+ TITLE DATE <br /> WASTE T�(PE RECEIVING FACILITY <br /> I <br /> i <br /> i ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ELDISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ,. ❑ CONSTRUCTION SOIL E] ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> _.._ <br /> C', <br /> C✓ G,� (209) 982-1009 FAX <br /> 4 NAME:. d j.., I ' ` T NOTES: i��'. •'._>n t�. :>_ r; TRUCK NUMBER <br /> i <br /> ADDRESS <br /> • CITY,SlAt ZIP <br /> G--A_ILp n Lf.- <br /> PHONE ,�•:, �_ _ :� ,,.ENO DUMP _ BOTTOM DUMP TRANSFER . <br /> SA = � v53 _ ❑ ❑ .__t _ ❑ <br /> SIGNATURE <br /> �71ZED_AGENT_OR DRIVEL DATE_ V �•ROLL-OFF(S) FLAT-BED _VFW DRUMS <br /> ;l <br /> CUBIC.YARDS <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other C <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL M OD: (TO BE COMPLETED BY FORWAIgW <br /> impairs the safe and effective operation of the Landfill. Forward shall use DISPOSE .,-BIO AERATE STOCI�ILE 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 <br /> the waste. ❑ SLUDGE <br /> REMARKS E:i NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> 'SIGNATURE OF AUTHORIZED AGENT DATE <br /> I _ ❑ ASH <br /> ..� ; 1 �r`L ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULE., LOADS ARE <br /> SUBJECT 70 REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL HE DAY BEFORE. <br /> TO SCHEDULE CALL ;209) 982-4298 MANIFEST # 351 0 5 8 <br /> GENERATOR COPY <br />