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wARD <br /> - NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> 111W' JOB ACCEPTANCE NO. <br /> GEN T _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 6i� F� �/��/� []GLOVES- ❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAAIILINNG,Ar�D/D/RES _ ❑TY-VEK ❑OTHER <br /> 616,STATE,ZI - �• f SPECIAL HANDLING PROCEDURES <br /> �H70NE _5 _2-,?73_ _ <br /> CISTA OT PERSON <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE - <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • L SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ <br /> CONSTRUCTION <br /> ASH SOIL ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY —_ (209`982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAM SS / NOTES TRUCK NUMBER <br /> ADE Cz C_ -!/� _ - - w /i <br /> ko <br /> • CITY ATE,Zip <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OFAUTHORIZED AGENT OR DRIVER_ DATE ROLL-OFFS) FLAT-BED VAN � DRUMS <br /> 0 El <br /> FORWARD INC.1ANDFILL CUBIC YARDS ,t <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 DISPOSAL 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 _ _ _ _ DISPOSE BIO . AERATE S=K11 E OTHER <br /> waste for any reason It Forwards refusal to accept the waste is based on OIL T W <br /> weather or other site conditions, Forward shall notify the Disposer when sit <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> � REMARKS —_ - —-- -- �- �- -� 4'�— <br /> __ _ _ _ —� �_ _ ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILCTY TICKET NUMBER <br /> E] WOOD � <br /> SIGNA4:044 9F/Aufi j&IZED GENT `_ _DATE <br /> E] ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR 70 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL_ + ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARR)VAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209)982-4298 MANIFEST 4� 6 5 5 5 <br /> GE"IERATOR COPY <br />