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WARD NON-HAZ JOUS WASTE MANIFEST F&RWASTE TREATMENT AND DISPOSAL FACILITY INC. JOB ACCEPTANCE NO. d lLl ij GENEF,IATQR ;- ,� 4 MAIL1NG,jkqDR,F�SS CITY, STATEZIP PHONE Jr CONTACT PERSON SIGNATURE OF AVJTHORIZEjrAGENT, / T;TLE WASTE TYPE REQUIRED PERSONAL PROTECTIVE EQUIPMENT , [IGLOVES []GOGGLES ❑RESPIRATOR C]HARD HAT ❑ TY-VEK ❑ OTHER I SPECIAL HANDLING PROCEDURES. RECEIVING FACILITY ❑ TREATMENT SOIL ❑ SLUDGE ❑ NON -FRIABLE ASBESTOS FORWARD INC. LANDFILL © DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH ADDRESSys ❑ OTHER MANTECA, CALIFORNIA 95336 GENERATING FACILITY - _.,. - 1 (209) 982-4298 PHONE (209) 982-1009 FAX 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 3 5 n Q� 1 GENERATOR COPY MANIFEST # . NAME :' } __ •_ a�- _ NOTES ,.. ,.\TRUCK NUMBER ADDRESSys • CITY, STATE, ZIP • PHONE END DUMP _ .. BOTTOM DUMP __. - . TRANSFER - ❑ ❑ ❑ SII P A UREOF AUTHORIZED AGENT OR DRIVER DATE _ , ROLL-OFF(S) FLAT BED _,"; VAN DRUMS ❑ ❑ ❑ ❑ FORWARD INC. LANDFILL cuBlc 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 DISPOSAL 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 STOCKPILE _ OTHER waste for any reason. If Forward's refusal to accept the waste is based on SOIL weather or other site conditions, Forward shall notify the Disposer when site ' conditions are expected to change such that Forward will be able to accept the waste. ❑ SLUDGE REMARKS :... •_ - ❑ NON -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 3 5 n Q� 1 GENERATOR COPY MANIFEST # .