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�� NON-HAZARDOUS WASTE MANIFEST <br /> 4 v J N C O R P O R 4 T E D ' WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. <br /> GENERATOR � I _ REQ ED PERSONAL PROTECTIVE EOUIPMENT <br /> MIP6 0!t A~A_� LOVES []GOGGLES ❑RESPIRATOR ARD HAT <br /> LING.ADDRS J = - TY-VEK [3OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> ' CITY,STATE ZIP <br /> • s'��r2-�./L. Cir <br /> - PHONES <br /> ' y'� <br /> CON ACT PERS�� <br /> SIGNATUgE 01= AUTHORiZ AG T TITLE DATE <br /> WASTE TYPE RECENWG FACILITY"' <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ffDISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> 00 GENERATING FACILITY (209) 982-4298 PHONE <br /> ,�� ��� ., � (209} 982- 1009 FAX <br /> IAF2j �, - NOTES TRUCK NUMBER <br /> ADDRESS <br /> r <br /> CITY,ISTATE,ZIP / <br /> PH E END DUMP BOTTOM DUMP TRANSFER <br /> SIG�ATgF OF AUT �IZiED AGE OR ARIVER DATE ROLL©FF(S) FLAT-BEDn VAN DRUMS <br /> �� ,!�� ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS/ <br /> Forward shall have no oblipation to accept the waste if weather or other <br /> conddions impair the safe and effective disposal of the waste or it the waste DISPOSAL ETHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPOSE B10 AERATE JSTOCKMLE� OTHEf3reasonable efforts to promptly notify Disposer of its inability to accept the _ <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> weather or other site conditions Forward shall notify the Disposer when site OIL <br /> conditions are expected to change such that Fomard will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> E3 ASBESTOS <br /> FACILITY-nCKE"f NUMBER <br /> - -- ❑ WOOD t <br /> SIGNATURE OF_ ORIZED AGENT« ;;, OATI~ <br /> ASH 1 <br /> OTHER <br /> a <br /> i <br /> CHEDULING MUST BE MADE PRIOR TO 4 DO 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 /> r SCHEDULE CALL (209) 982-4298 MANIFEST* 57970 <br /> ! <br /> GENERATOR COPY <br />