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wARD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> I INC" JOB ACCEPTANCE NO,* <br /> r= <br /> GENERATOR 7 'REQUIRED PERSONAL PROTECTIVE'EQUIPMENT <br /> aFi� >41L ❑GLOVES ❑GOGGLES ❑RESPIRATOR <br /> MAILING ADDRESS '�`- ❑HARb WAT <br /> D. 13r� ❑TY-VEK []OTHER <br /> CITY,STATE,ZIP x SPECIAL HANDLING PROCEDURES: <br /> PHONE 9S�166 <br /> CONTACT PERSON. <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> WASTE TYPE <br /> q RECEIVING FACILITY "A <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> I51-_7&4 ter= (209) 982- 1009 FAX <br /> 3 <br /> NAME NOTES: TRUCK NUMBER <br /> ADDRESS c� ��W fs fZf`c r4 i�V /C �� /-O/dj q <br /> 2,4 <br /> . CITY,STATE,ZIP <br /> 5 I 1 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS)'- ;,;: FLAT-BED VAN DRUMS <br /> FORWARD INC, LANDFILL cuecADs F:} <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 OSAL 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 E,. BIO . AERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on / SOIL <br /> weather or other site conditions, Forward shall notify the Disposer when si�e� <br /> conditions are expected to change such that Forward will be able to acme <br /> the waste. ❑ SLUDGE <br /> • REMARKS - .. <br /> ' ❑ NON-FRIABLE <br /> L, ASBESTOS <br /> FACILITTICKU MB R. } <br /> i CI WOOD <br /> SIG ATU F AUORIZAG�NT .. DATE . <br /> �/ ❑ ASH <br /> 3,j/,� <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4- .M. THE DAY PRIOR TO EXPECTED ARRIVAL • 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(209)982-4298 GENERATOR COPY MANIFEST# 49606 <br />