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FORNON-HAZARDOUS WASTE MANIFEST <br /> WARD J WASTE TREATMENT AND DISPOSAL FACILITY. <br /> w JOB ACCEPTANCE NO. ------ - <br /> 9EQUIRED'I?E950NALPROTEGTIVE''EOUIPMiENT � �`` <br /> _ <br /> [:]GLOVES []GOGGLES ❑RESPIRATOR [:]HARD HAT <br /> MA 714 <br /> M 9S :7 �r : '.f� � , r x, v ❑TY-VEK []OTHER <br /> ell <br /> �T T ;Z P "';' �*=dl 4 x`r''-F r� F r � °Y« SPECIAL HANDLING PROCEDURES: <br /> .•�- ,.a : <br /> PHONE <br /> r CO CT PERS N " , __ <br /> d�*3. d4 . .-. <br /> SIGf�ATURE O.AUTHORIZE AGENT/T1TLEw QATE <br /> WASTE TYPE ; e.. `• ,.°. RECEIVING FACILITY.: <br /> I <br /> ❑ SLUDGE <br /> ❑,TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> e DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL ❑ ASH <br /> g ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 100.9 FAX <br /> a <br /> NAM :" NOTES: TRUCK;NUMBER ' <br /> AD ESS <br /> CITY;.STAI. <br /> ZIP <br /> END DUMP; s , .BOTTOML1MF?awrv�..vf_ NSFER " <br /> } _ •.{ ♦ / El <br /> SIGNATURIL 6F,AQT[4ORIZkD AGENT OR DRIVERS W �� DROLL OFF(S) �L6 BEI� AN : = <br /> ❑ ❑ ❑ ❑ <br /> (. <br /> CUBIC:YABQE <br /> FORWARD INC. LANDFILL - - �-"- - <br /> ' Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the sate and effective disposal of the waste or if the waste DISPOSAL.METHOD"` '";`(T0.8E COMPLETED.k3Y ORWAI ,D� <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 aBlO� At StOGlCFIIE '`DTH�R'°'; <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> fI 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 p _ ❑ SLUDGE <br /> ER ti'�W3 r Sr - • <4:m_.,.:.yz -i4n��..4. .t°!^F`�.kn.xv."_-.". .,..;.:�.`.�; <br /> V <br /> M1 NON-FRIABLE <br /> • ❑ ASBESTOS <br /> �ACI�T1lq fiICKETU�iiI3 f?`_i : ," ° . z; <br /> ❑ WOOD <br /> 'S�GNATUFiE7F•A'� G�RIZED'ALIT J= DATE< <br /> ❑ ASH <br /> 4 d d -(i <br /> , <br /> '�1 ' -v ❑ OTHER <br /> SC;IIEDULIPJG MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> S1jt3.IF'rT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE_ SCHEDULED WITH THE LANDFILL THE DAYBEFORE. <br /> TO SGI IEDULE CALL (209) 982-4298 MANIFEST #E 7862 <br /> inANS11017TEn COPY <br />