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�� NON-HAZARDOUS WASTE MANIFEST WARDWASTE TREATMENT AND DISPOSAL FACILITY 11W- , JOB ACCEPTANCE NO. — ENE iTOf{Z � �� -REQUIRED VE PERSONAL PROTECTIVE I=ATOR NT L GLOVES E]GOGGLES ❑RESPIRATOR [:]HARD HAT MAILING ADD E �+ �'�� ❑7Y-VEK ❑OTHER �'e r SPECIAL HANDLING PROCEDURES • CITY STAT ZIP PHONE • Co oI, S4 �6 f SIGNATURE OF AUTHORIZER AGENT/TITLE DATE + WASTE TYPE RECEIVING FACILITY ❑ SLUDGE • ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL • ISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH .. ❑ OTHER MANTECA, CALIFORNIA 95336 GENERATING FACILITY (209) 982-4298 PHONE (209) 982- 1009 FAX NOTES TRUCK NUMBER ADDhESS C4�TAI;F!rP «� c PHONE END BUMP BOTTOM DUMP_ TRANSFER 67 7 SI NATUR OF AUTHORIZED AGEi T-OR DRIVER DATE ROLL-OFFS) FLAT BED VAN DRUMS FORWARD INC. LANDFILL CUBIC YARDS(_� Forward shall have no obligation to accept the waste if weather or other .J conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) impairs the safe and effective operation of the Landfill Forward shall use DISPOSE BIO AERATE STOCKPILE OTHER reasonable efforts to promptly notify Disposer of its inability to accept the waste for any reason If Forward's refusal to accept the waste Is based on weather or other site conditions Forward shall notify the Disposer when site • conditions are expected to change such that Forward unll be able to accept the waste _ _ ❑ SLUDGE • REM- ARKS NON-FRIABLE • _ _ — – _�_ ___ __ _ ❑ ASBESTOS FACILITY TICKET NUMBER _ _ -- -- -_ _ - - ❑ WOOD SIGt*' E Pr AOTH6R47-ED AGENT DATE - T ❑ ASH OTHER SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL o ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)982-4298 MANIFEST # 6554