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OtN -FQRI. .R.D y NON-HAZARDOUS WASTE MANIFEST <br /> ! N C O R P OR .1TE1 WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. -7H-5-- 7 <br /> NERATOR } p� '7 } REOUIRED PERSONAL PROTECTIVE EOUIPMENT <br /> EGLOVES ❑GOGGLES ❑RESPIRATOR ONARD HAT <br /> MAILING ADDRESS t � �� ❑TY-VEK ❑OTHER <br /> CITY, STATE,ZIP {. , r rr't SPECIAL HANDLING PROCEDURES <br /> PHONE ,. <br /> CONTACT PERSONy' <br /> ,. <br /> SIGNATURE OF AUTHORIZEDD AGENT%TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL ❑ Woo° 9999 SOUTH AUSTIN ROAD <br /> ❑ <br /> CONSTRUCTION SOIL E] ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> v _ <br /> (209) 982- 1009 FAX <br /> �E ii } -- NOTES TRUCK NUMBER <br /> S t <br /> ADDRESS - ,y <br /> . CITY,STATE,ZIP' x f—?!•r <br /> 1 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 11 11 E:1SIGNATURE OF AUTHORIZED AGENT_OR DRIVER DATE ROLL-OFF(S) FLAT-SED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YAR9S % <br /> Fory crd shall have no obligation to accept the v.aste it weather or other <br /> cendmens impair the safe and effective disposal of the waste or it the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> the safe and effective operation of the Lancfill Forward shall use <br /> reaso^able efforts to promptly notify Disposer of its inability to accept the DISPOSE 810 AERATE STOCKPI_E OTHER <br /> waste for any reason If Forv,ard s refusal to accept the waste is based on <br /> weather or other site conditions, Forward shall notify the Disposer when site ❑ SOIL <br /> conditions are expected to change such that Fory and will be able to accept <br /> tr,e waste t, ❑ SLUDGE <br /> REMARKS 1 <br /> NON FRIABLE <br /> k <br /> FACILITY TICKET NUMBER ASBESTOS <br /> 11 ❑ WOOD <br /> ATURE OF,Al1THORIZED AGENT DATE ' <br /> I r t� . 1 �` ~}�`I ❑ ASH <br /> 71C <br /> J � ( j�, t%.`�`.!� J,�✓ � ❑ OTHER <br /> CHEDULING MUST BE MADE PRIOR TO 4 00 P M-THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> OBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> O SCHEDULE CALL (209) 982-4298 MANIFEST # 9 2 9 ! <br />