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NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY1_(g),TORWARD <br /> INCORPORATED ' <br /> 1 JOB ACCEPTANCE NO. <br /> IGEN TO , v � '-"�� ". REOUi_RED PERSON+4L�ROTEgRi E EQUIPMENT <br /> r GLOVES ❑GOGGLES [:]RESPIRATOR <br /> ❑HARD HAT <br /> ( F _ �C LLLI !� a <br /> MAII�[Vfa^ADDRESS ❑TY-VEK ❑OTHER I <br /> SPECIAL HANDLING PROCEDURES <br /> c c5 —7 <br /> SIGNATURE OF AUTHORIZED AGES,1 TITLE, DACE A ' <br /> - <br /> + WASTEfs��` kn _ =��, _ - _-z �� _ RECEIVING FACILITY <br /> y. <br /> ❑ SLUDGE FORWARD INC. LANDFILL <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS <br /> • <br /> [3-DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br /> � OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> GENERATINGIFACIUTY _ W _ (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> 11110 <br /> TRUCK NUMBER <br /> NAM ; _„� �- .� % / _ � �� NOTES _ <br /> ADDRESS _ - <br /> . CITY,STATE,ZIP <br /> END DUMP BOTTOM DUMP TRANSFER <br /> I ONES y 7 - d` ❑ ❑ <br /> - SIGNATIrRE OFFAUTHORIZED AGENT OR�7RIVER DATE ROLL-❑OFF(S) FLAT-BED V� DRUMS <br /> CUBIC,YARDS <br /> FORWARD INC. LANDFILL <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 DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use / DISPOSE BIO AERATE STOCxPIIf OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the // w <br /> waste for any reason If Forwards refusal to accept the waste is based on t1 SOIL <br /> weather or other site conditions Forward shall notify the Disposer when site Li <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste SLUDGE <br /> REMARKS. :.. �� 'r. r J ... .�. �. . .�, r.��>.1 ❑ NON-FRIABLE <br />' u �� ASBESTOS <br /> -ACILi FSG TICKET NUMBER w. �:.t- _ .: s ❑ WOOD <br /> S}GI�ATU OF A <br /> ORI Z DENT'-`r ❑ ASH <br /> OTHER <br />' SCHEDULINGMUSTBE 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 /> We% cnVcnll[ G i+A1 1 !Offal 9A2-4_209a _ -- ►iAwnCLC� 1; — <br />