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WARD <br />NON-HAZ, JOUS WASTE MANIFEST <br />FWWASTE TREATMENT AND DISPOSAL FACILITY <br />/NC. JOB ACCEPTANCE N0. �� M — /2 yU <br />0 <br />\SCHEDULING MUST tjt MAUI PRIUR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL + ANY UNSCHEDULED LOADS ARE <br />'11BJEC7 TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY 31E ORE. <br />"CHEDULE CALL (209) 982--L298 MANIFEST # 3 % 0 8 3 <br />. GENERATOR COPY <br />GENERATOR <br />l WWv L'/JS%� <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />[]GLOVES ❑GOGGLES []RESPIRATOR []HARD HAT <br />MAIUNG ADDRESS <br />❑ TY-VEK ❑ OTHER <br />CITY,. Sj7TATE, ZIP _ <br />SPECIAL HANDLING PROCEDURES: <br />- PHONE <br />707 J37�/ y7Z <br />CONTACT PERSON <br />SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br />y f <br />' WASTE T -f F/E <br />RECEIVING FACILITY <br />• ❑ TREATMENT SOIL <br />❑ SLUDGE <br />❑ NON -FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />• E] DISPOSAL SOIL <br />❑� CONSTRUCTION SOIL <br />❑ <br />ASH ❑ASH <br />9999 SOUTH AUSTIN ROAD <br />• <br />❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />GENERATING FACILITY <br />C e i� -3 s <br />209) 982-1009 FAX <br />NAME •' <br />NOTES-' m : - TRUCK NUMBER <br />' <br />ADDRESS <br />• CITY, STATE, ZIP <br />PHONE <br />,_. END DUMP , ,° BOTTOM DUMP TRANSFER <br />SIGNATURE OF'AUTHORIZED AGENT OR DRIVER DATE ' .. <br />-0ROU_FF(Sj FLAT BED VAN _ DRUMS <br />- t�7 _C/ lL <br />❑ ❑ ❑ ❑ <br />' <br />FORWARD INC. LANDFILL <br />Forward shall have no obligation to accept the waste if weather or other <br />CUBIC YARDS <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 />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 <br />weather or other site conditions, Forward shall notify the Disposer when site <br />DISPOSAL METHOD: (TO BE COMPLETED BY <br />_�_ DISPOSE BIOAERATE 5fQCKP1LE <br />ErSOIL <br />t�1 SOIL <br />FORWARD) <br />OTHER <br />conditions are expected to change such that Forward will be able to accept <br />the waste. <br />REMARKS <br />❑ SLUDGE <br />NON -FRIABLE <br />ASBESTOS ❑ ASBESTOS <br />FACILITY TICKET NUMBER <br />❑ WOOD <br />SIGNATURE OF AUTHORIZED AGENT DATE <br />❑ ASH <br />❑ OTHER <br />0 <br />\SCHEDULING MUST tjt MAUI PRIUR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL + ANY UNSCHEDULED LOADS ARE <br />'11BJEC7 TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY 31E ORE. <br />"CHEDULE CALL (209) 982--L298 MANIFEST # 3 % 0 8 3 <br />. GENERATOR COPY <br />