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t'- • _ WARD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> ■1VC_ JOB ACCEPTANCE NO. t• <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT. <br /> a /Z f�i�C EL GL <br /> ._. . . OVES GOGGLES <br /> MAILING ADDRESS ' ❑ ❑ LES ❑RESPIRATOR HARD HAT <br /> "=� ❑TY-VEK ❑OTHER <br /> a � <br /> CITY,STATE,ZiP ; SPECIAL HANDLING PROCEDURES: <br /> • PHONE: <br /> CONTACT PERSON! .. , <br /> SIGN,TU OF,AUTHORIZED AGENT/TITLE„ , • DATE xF <br /> WASTE TYI?E : .RECEIVING FACILITY <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 /> GENERATINGFACILITY (209) 982-'4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME .. .: NOTES: : TRUCK NUMBER <br /> -77Zv[4 'LOA G� <br /> ADDRESS ;. <br /> / 6 ,fir- c�L �_r, c4 <br /> 1 r /-'Lu <br /> . CITY,STATE, ZIP <br /> PHONE r END DUMP BOTTOM DUMP TRANSFER <br /> :0pC_ -S-)r- 0--__ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL cu I RDS <br /> Forward shall have no obligation to accept the waste if weather or other f <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 DI OSAL METHOD:..'', (TO BE COMPLETED BY FORWARD <br /> ) <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE :BIO. . AERATE STOCKPELE 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 site <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> • NON-FRIABLE <br /> �' ❑ AS8ESTOS <br /> FACILI�Y Tib 'T NUMbER <br /> ❑ WOOD <br /> SIGN TUBE F AUT ORIZ i AGENT .. ::' ATE a; <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR :00 P.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 # 4 9 6 0 8 <br />