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WARD NON-HAZ, .. ,JOUS WASTE MANIFEST <br />I-U-MWASTE TREATMENT AND DISPOSAL FACILITY <br />JOB ACCEPTANCE N0. <br />�°6 /�'�124 <br />GENERATOR <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />CLIftL,✓Oe —I, '/1v C(-1' / > CYu ,¢ } <br />❑ GLOVES []GOGGLES ❑RESPIRATOR []HARD HAT <br />MAILING ADDRESS <br />❑ TY-VEK []OTHER <br />.7J`5 - <br />SPECIAL HANDLING PROCEDURES: <br />CITY, STATE. ZIP <br />• <br />/1 t J V/,3Tj <br />- <br />_ <br />PHONE _ <br />CONTACT PERSON _ _- <br />h/�. <br />SIGNATURE OF AUTF"IZED AGFAIT / TR -E DATE .. <br />* y✓'L Ott --t✓ o/� <br />WASTEItYPII <br />RECEMNG FACILITY <br />' <br />❑ TREATMENT SOIL <br />❑ SLUDGE <br />❑ NON -FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />• <br />QC DISPOSAL SOIL <br />❑ WOOD <br />9999 SOUTH AUSTIN ROAD <br />❑ CONSTRUCTION SOIL <br />❑ ASH <br />❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />GENERATING. FACILITY <br />v� <br />(209) 982-1009 FAX <br />NAME _TRUCK <br />NO NUMBER <br />_ <br />ADDRESS. <br />• <br />C1 STATE, ZIP <br />U2�o Clf� (/t <br />END DUMP'...: BOTTOM DUMP ... , _TRANSFER <br />ONE•. :.. ; _ <br />_ :_ _>_ ...._.. .._: <br />07 <br />❑ ❑ ❑ <br />SIGNATUR� OF AUTHORIZED AGENT OR DRIVEFT DATE <br />ROLL -OFFS) FLAT-BED VAN DRUMS <br />❑ ❑ ❑ ❑ <br />* ✓, l0-112 J-9 <br />FORWARD INC. LANDFILL <br />cuslc,`/YA'RDs <br />/`� <br />Forward have to accept the waste if weather or other <br />/ <br />shall no obligation <br />conditions impair the safe and effective disposal of the waste or if the waste <br />impairs the safe and effective operation of the Landfill. Forward shall use <br />DISPOSAL METHOD:_ <br />_ (TO BE COMPLETED <br />BY <br />FORWARD) <br />reasonable efforts to promptly notify Disposer of its inability to accept the <br />_,:: _ _ .. .. _ <br />DISPOSE BIG AERATE <br />I5i0Ct�IlE <br />OTHER <br />waste for any reason. If Forward's refusal to accept the waste is based on <br />❑'SOIL <br />weather or other site conditions, Forward shall notity the Disposer when site <br />• <br />conditions are expected to change such that Forward will be able to accept <br />the waste. <br />❑ SLUDGE <br />REMARKS _ . _.. - .:.. _ . _ ::_ __ - _ .:. _ . <br />NON -FRIABLE <br />❑ <br />ASBESTOS <br />FACILITY TICKET NUMBER <br />❑ WOOD <br />- <br />SIGNATURE OF AUTHORIZED AGENT DATE _ <br />❑ ASH <br />* —' '� % -� <br />❑ OTHER <br />SCHEDULING <br />MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR <br />TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br />SUBJECT <br />TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST <br />BE SCHEDULED WITH THE LANDFILL THE JAY BEFORE. <br />TO <br />SCHEDULE CALL 1,209) 982-4298 <br />3 r <br />MANIFEST # ,. j !� (-17 2 <br />GENERATOR COPY <br />