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y ., - ���D NON-HAZ SOUS WASTE MANIFEST <br />FWASTE TREATMENT AND DISPOSAL FACILITY <br />/NC. JOB ACCEPTANCE N0. 1& ,,, - /2Yo <br />GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />(f- wC)04) �/ ? S []GLOVES ❑GOGGLES ❑ RESPIRATOR ❑ HARD HAT <br />MAILING ADDRESS ❑ TY-VEK []OTHER <br />aU -&T y S S SPECIAL HANDLING PROCEDURES: <br />CITY, STATE, ZIP <br />PHONE <br />707 3741 6 y7Z <br />CONTACT PERSON <br />SIGNATURE OF AUTHWIZED AGENT / TITLE DATE <br />[' I t' f <br />WASTE TYPF,V RECEMNG FACILITY <br />❑ SLUDGE <br />• ❑ TREATMENT SOIL ❑ NON -FRIABLE ASBESTOS FORWARD INC. LANDFILL <br />• Q DISPOSAL 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 i :NOTES __-- ,, TRUCK NUMBER <br />ADDRESSV ,r,F-3 I <br />v �Y �.ci' <br />• CITY, STATE, ZIP <br />PHONE _ . • 3j -f — '7 0 .END DUMP- _; BOTTOM DUMP . TRANSFER _ <br />_ ❑ ~❑ `7 <br />VAN SIGNA F AUTHORI ROLL-O(S.V;FFLATBED YMS <br />11 El 11 <br />CUBIC: YARDS -- <br />FORWARD INC. LANDFILL J <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 DIS SAL METHOD: (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 AERATESTOCKIRKLE OTHER <br />waste for any reason. If Forward's refusal to accept the waste is based on �/, <br />weather or other site conditions. Forward shall notify the Disposer when site [J SOIL <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 />_ -- .: ❑WOOD <br />SIGNAf JRE OF AUTHORIZED AGENT DATE _ <br />❑ ASH <br />*i` J i I '- / ❑ OTHER <br />SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL 0 ANY UNSCHEDULED LOADS ARE <br />SUBJECT TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />TO SCHEDULE CALL( 2091 982-4298 3 55 0 8 2 <br />GENERATOR COPY MANIFEST # � <br />