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NON-HAZARDQUS 1NASTE MANIFEST-- - <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC <br /> JOB ACCEPTANCE N0. <br /> GENERATOR REQUIRED.PERSONAL PROTECTIVE EQUIPMENT <br /> C L �P �iS� ►4� �IIJS�'� ❑GLOVES ❑GOGGLES [:1 RESPIRATOR ❑HARD HAT <br /> MAILING ADDRE S "- []TY-VEK ❑OTHER <br /> -��43 0 <br /> CITY,STATE, Z P.; ? SPECIAL HANDLING PROCEDURES: <br /> PHONE 7 G <br /> CONTACT PERSON <br /> SJGNATUF3E OF AUTHORIZED AGENT/:TITLE DATE .. '' <br /> WASTE TYPE r7777;RECEIVING FACIL[TY n <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 /> �;?_/v (209) 982- 1009 FAX <br /> NAME, NOTES: TRUCK NUMBER <br /> 7 <br /> ADDRESS <br /> . CITY,STATE, ZIP <br /> . PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-SED VAN ,DRUMS <br /> �k04 <br /> a �7 ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuBic YARDS _. <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 DES OS L 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 ISPOSE BIO .: AERATE STOCKPILE OTHER <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 ],SOIL <br /> conditions are expected to change such that Forward will be able to accept" <br /> the waste. ❑ SLUDGE <br /> REMARKS ' <br /> • �� ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY/CKET�Id EtEt� <br /> t // i ❑ WOOD <br /> SIG TUBE AUTHORIZED A ENY DATE <br /> ❑ ASH <br /> ` "L %. Cr ✓` ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 R^ THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGQWd DAILY DELIVERIES MUST BE SCHEDULED WrM THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 GENERATOR COPY MANIFEST # 49610 <br /> �, <br />