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NON -RAZ ` SOUS WASTE MANIFEST <br />WASTE TREHi MENT AND DISPOSAL FACILITY <br />/NC. JOB ACCEPTANCE N0. <br />GENERATO� t _ A } s <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />❑GLOVES ❑ GOGGLES ❑ RESPIRATOR []HARD HAT <br />MAILING ADDRESS n �► <br />❑ TY-VEK ❑ OTHER <br />o. <br />CITY, STATE,,7,1P <br />SPECIAL HANDLING PROCEDURES: <br />PHONE ,r <br />CONTACWP'ERSON <br />SIGNATURE OF AUTHOOIZED AGENT /TITLE DATE <br />At <br />• <br />WASTE TYPE' <br />' <br />RECEIVING FACILITY <br />• <br />❑ TREATMENT SOIL <br />❑ SLUDGE <br />❑ NON -FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />• <br />© DISPOSAL SOIL <br />❑ WOOD <br />9999 SOUTH AUSTIN ROAD <br />❑ CONSTRUCTION SOIL <br />❑ ASH <br />" <br />❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />GENERATING FACILITY . _ <br />c; ujGGID <br />(209) 982-1009 FAX <br />NAME f <br />NOTES: -, - _ -ETR UCK NUMBER <br />ADDRESS <br />• CITY, STATE, ZIP_ <br />. PHONE <br />END DUMP BOTTOM DUMP TRANSFER <br />SURE OF AUTHORIZED.AGENT OR DRIVER DATE . ; <br />ROLL-OFF(S)'. ; FLAT-BED VAN_ DRUMS. <br />FORWARD INC. LANDFILL <br />CUBIC YARDS. <br />Forward shall have no obligation to accept the waste if weather or other <br />/ <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 ' BIO AERATE <br />SMCKPILE <br />OTHER <br />waste for any reason. If Forward's refusal to accept the waste is based on <br />SOIL <br />/ <br />weather or other site conditions, Forward shall notify the Disposer when site <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 />_ <br />ASBESTOS <br />FACILITY TICKET NUMBER <br />❑ WOOD <br />- SIGI ATUOIE OF AUTHORIZED AGENT DATE <br />❑ ASH <br />*� —� -r— ^% ` ��> <br />❑ OTHER <br />1� SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ED ARRIVAL • ANY UNSCHEDULED LUAUS Amrz <br />SUBJECT TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />'TO SCHEDULE CALL (209) 982-4298 <br />GENERATOR COPY MANIFEST 3 1-:10 Q 2 <br />-to- <br />