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WARD /NC. ,106 ACCEPTANCE N0. NON-HAZ, - ,DOUS WASTE MANIFEST WASTE TREATMENT AND DISPOSAL FACILITY GENERATOR -600 ��a REQUIRED PERSONAL PROTECTIVE EQUIPMENT C 6,4t. 11,E (,v 74 [:]GLOVES ❑GOGGLES []RESPIRATOR ❑ HARD HAT MAILING ADDRESS ❑ TY-VEK ❑ OTHER CITY, STATEZIP , .... _ . .:.... - SPECIAL HANDLING PROCEDURES: • K/0 LdSTS - PHONE CONTACT PERSON 3 ryz�SIGNATURE OF AU�}10RI AGENT / TITLE DATE ED WASTE TYPE _. , '_ RECEIVING.FACILI7Y_ ❑ SLUDGE ❑ TREATMENT SOIL ❑ NON -FRIABLE ASBESTOS FORWARD INC. LANDFILL • p DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH ❑ OTHER MANTECA, CALIFORNIA 95336 (209) 982-4298 PHONE .GENERATING FACILITY4 = (209) 982-1009 FAX NAMENOTES• _ = U .- .� _ ADDRESS • CITY, STATE; ZIP. _ H - • PHONE ry �. . = END DUMP BOTTOM DUMPTRANSFER _ ._ _ SIGNATURE OF AUTHORIZED AGENT. -PR DRIVER DATE .. _ ROLL-OFF(S) FLATCl BED VAN .. ' DRUMS FORWARD INC. LANDFILL CUBIC YARDS Forward shall have no obligation to accept the waste if weather or other conditions impair the safe and effective disposal of the waste or if the waste DISPO METHOD: (TO BE COMPLETED BY FORWARD) impairs the safe and effective operation of the Landfill. Forward shall use reasonable efforts to promptly notify Disposer of its inability to accept the �;___. ; ; . _: DISPOSE BIO_ - . AERATE OTHER waste for any reason. If Forward's refusal to accept the waste is based on weather or other site conditions, Forward shall notifythe Disposer when site w SOIL / TSMCKPtLE conditions are expected to change such that Forward will be able to accept the waste. ❑ SLUDGE REMARKS ❑IVON-FRIABLE ASBESTOS FACILITY TICKET NUMBER _. _ ,-.. _ _. ❑WOOD - SIGNATURE OF AUTHORIZED AGENT DATE ❑ ASH ❑ OTHER SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. TO SCHEDULE CALL (209) 982-4298 MANIFEST # 35070 GENERATOR COPY