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• NON-HAZARDOUS WASTE MANIFEST <br /> WARDWASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> EQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> EN ATL <br /> f <br /> v. ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDR / ❑TY VEK E]OTHER <br /> ��G �� �" -- SPECIAL HANDLING PROCEDURES <br /> ITY, TA ,Zip <br /> . S C/L isp <br /> . Po�NfE.� 6� 13 I - <br /> ' G <br /> CONTACT rERSON <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY ; <br /> ❑ SLUDGE FORWARD INC. LANVfILL <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS <br /> • POSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN <br /> it,;, <br /> ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> .. ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> * GENERATING FACILITY _ (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX- <br /> NOTES _ TRUCK NUMBER <br /> til _ �/ 2- <br /> ADDRESS <br /> • CITY,STATE.ZIP _ ___ _ --- <br /> • /Q - END DUMP BOTTOM DUMP TRANSFER <br /> PHONE _ 4 _ _ __ _ _— - El - ❑ <br /> ® <br /> • SIGNATURE O AUTHORIZED'AGENT OR DRIVER DATE ROLL-OFFS) J FLAT-BED _ VAN DRUMSp <br /> ' FORWARD INC.,LANDFILL CUBIC YARDS ' N <br /> Forward shall have no obligation to accept the waste if weather or other r <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPOSE BIO AERATE s,=YPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the .�_r_ - -_ -_ �-- <br /> waste for any reason If Forward's refusal to accept the waste is based on OIL <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 NON-FRIABLE <br /> �'� _ ❑ ASBESTOS <br /> FAG(UT)L&' ET N BE <br /> MWOOD <br /> SIG N,�T{1Re OF AUTHORIZED AGENT C i_w T _ _DATE <br /> ❑ ASH <br /> ,f OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 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 MANIFEST # 6551 <br /> I <br /> r.r .rn wrno r�aV _ - <br />