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NON-HAZARDOUS WASTE MANIFEST <br /> I-rjlwft R to WAIA& RD WASTE TREATMENT AND DISPOSAL,FACILITY <br /> IN JOB ACCEPTANCE NO. _ W <br /> G ERATOR" <br /> � REQUIRER PERSONAL'PROTECTIVEmEG}lJIPIVIENT , <br /> �✓Q� �p l-t! []GLOVES ❑GOGGLES ❑RESPIRATOR HARD HAT <br /> M I�QC3 ❑TY-VEK ❑OTHER <br /> T�1�; �TA ;."ZIP,' r:;� � � " ' { SPECIAL HANDLING PROCEDURES: <br /> .71 <br /> � GDI��T PER N,r✓# �' ���y'���• t, " � ;1�_„'�� �'�.,� �` <br /> S G ATuRIw OF AtITHQRIZEDGFzN7 /TItLE BATE R F' ° <br /> 8 E �' .•.,;;��...:.r�m �-�;» t' ,�W,•raF •' k A.*?.� r. RECEIVINGFAGILITY� <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH ASW <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATINGIACIL"fTY; .: (209) 982-4298 PHONE <br /> `•i` <br /> (209) 982-1009 FAX <br /> , -w <br /> . f � <br /> ��rr L. "NOTES: .1"RUCK NUMBEBE <br /> R <br /> . <br /> TY,.S l/T/�fE,ZlP <br /> PHONE f �' -+ -: . w END ClUiviP _ _'BOTTOVDUMP ,' RA_ SFEFi i` <br /> SIGNATURA OF•AUTHORIZED AGENT,OR:DRIVER ' DATE,7 ROLL OFFS) _, tKFL BED , ;,M VAN=• �IJRU �3 <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 BY,F <br /> DISPOSAL METHOD ;{1tD CSE COM#?LETED ORWARD k <br /> impairs the safe and effective operation of the Landfill. Forward shalt use _.dc 41Y ,: , { ,�: <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _}`• �; �y QISP05E'r,flO AEiA_TE KRL bTMER„, <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> 11 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 /> i'F NON-FRIABLE <br /> [3 ASBESTOS <br /> FAILi 111f4CT NI� A3 . <br /> WOOD <br /> MSIGNA1�J13E OF AUTHOR1ZEDz GENTS _ g DA E <br /> ❑ ASH <br /> ❑ OTHER <br /> SCIIFVlJl_ING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL A ANY UNSCHEDULED LOADS ARE <br /> SLII3.IECT TO nEFUSAL UPON ARRIVAL.ONGWIG DAILY DELIVERIES MUST BE SCHEDULED WI71-I THE LANDFILL THE DAY BEFORE. <br /> TU SCIIEDULE CALL(209)992-4298 ^ <br /> MANIFEST # <br /> TFiANSPOfiTER COPY b <br />