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NON-HAZARDOUS WASTE MANIFEST <br /> • - WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. ,IJ - A,2,&P� <br /> ENE T -REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> � <br /> G /,c [:]GLOVES [:]GOGGLES C]RESPIRATOR ❑HARD HAT <br /> MAILING ADDRE [:]TY-VEK ❑OTHER <br /> / Q ���✓� SPECIAL HANDLING PROCEDURES <br /> CITY,STA ZIP <br /> P ONE <br /> C TACT PERSON <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE FORWARD INC LANDFILL <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS <br /> • POSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> .. CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • <br /> j GENERATING FACILITY _ __ (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> NAM NOTES TRUCK NUMBER <br /> A DRESS <br /> • CI STATE,ZIP <br /> • 6 ���Q C - END DUMP BOTTOM DUMP TRANSFER <br /> ONE _ _ _ _ - ❑ <br /> • o o - 3sZENT�o�l -- ❑ <br /> SI TURF OF AUThiOR17�ED OR DRIVER BATE _ ROLL-OFFS} FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC Y RDS <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 wasteDISPOSAL✓METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use _ DISPOSE BIO AERATE SToci<Pu OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ - <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 acceR <br /> the waste _ _ ❑ SLUDGE <br /> • REMARKS N - _ - ___ _ __— -- ❑AVON-FRIABLE <br /> -- ----�� --_ - -- -----_------__..— ASBESTOS <br /> FACIUTYTICKET NUMBER_ __ _ ..._ �,e__-_�,� — ❑ WOOD <br /> - — <br /> SIGNf}TEJREOFAUT�ORIZE ,AGENT �- -, _ DATE <br /> f I ��L ❑ ASH <br /> /'L�� k `C �� ❑ OTHER <br /> TO ANY UNSCHEDULED LOADS ARE <br /> MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR <br /> SUBJECT SCHEDULLNG TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULEID WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209)982-4298 MANIFEST # 6553 <br />