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xamikNON-HAZARDOUS WASTE MANIFEST <br /> � <br /> WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> IIVC� ' <br /> JOB ACCEPTANCE NO, D'7 <br /> iENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> LIit-NG ADDRESS :,-k.�� ! :� f J- L ❑ []HARD; LES RESPIRATOR HARD HAT <br /> ❑TY-VEK ❑OTHER <br /> L t—'_ '� —'} _ _ SPECIAL HANDLING PROCEDURES <br /> CITY.STATE,ZIP <br /> PHONE _ <br /> CONTACT PERSON <br /> t; t H iti{s t_�\t�i= i "Cl - <br /> SIG TURF QF AUTHORIZED AGENT/TRLE DATE - <br /> 4Li= <br /> T TYPE`. -`;�L� - - - _.. -� RECEMNG FACILITY <br /> ❑ SLUDGE <br />+ ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> C] OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATINGFACILITY _ - _ .� - _= (209) 982-4298 PHONE <br /> I I L __ _!-F\ c �� ��`v ='� (209) 982-1009 FAX <br /> L <br /> E_ t . -; -" - - = ? h gEUC NUMBER <br /> ADORES& - <br /> I ! 1 U �_ j► � f, ' A it <br /> C[FY ZE '' - 3✓-4 <br /> tz\ CA <br /> ' " =4 - P ❑ OEl <br /> SIG G OR EtA OLL S SLAT-BEIM' • VAN= - <br /> _ _ ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL c�er <br /> Forward shall have no obligation to accept the waste d weather or other 17 '� <br /> conditions impair the safe and effective disposal of the waste or if the waste .MEGHOQ: (TD,BECOMPLETED gy-1QRWAR_D) <br /> impairs the safe and effective operabon of the Landfill Forward shall use • —rz18l(:01_Z reasonable efforts to promptly notify Disposer of Ets inability to accept the ATE Tom= <br /> waste for any reason If Forwards refusal to accept the waste is based on SOIL <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 accept <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> .�w _ .,: Y' z. fi.. ❑ NON-FRIABLE <br />► .h=amASBESTOS <br /> FACILITY�TICKET NUi4tBER - �= ` - <br /> _� f ^� �- _�- ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT <br /> _ _ _ _ __ -- ❑ ASH <br /> ❑ OTHER <br /> HEDULING MUST BE MADE PRIOR TO 4-00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> SCHEDULE CALL(208) 982-4298 MANIFEST# 14398 <br /> SALES COPY <br />