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r - - <br /> ~rWA <br /> t �, O R� RD NON-HAZARDOUS WASTE MANIFEST <br /> INC OR PGR ATE D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 8$330 <br /> � , � : ,�,�-_ REQUIRED PERSONAL PROTECTIVE EQUIPMENT, <br /> Beilca PeAavk= GLOVES ❑GOGGLES [:1 RESPIRATOR ®HARD HAT <br /> MAI LING ADDRESS � �s:�z� �`��� ��'-�t �_� ��� E]TY-VEK ❑OTHER <br /> 5 West ph Ebte �.. <br /> CITY7J > --Y _c - - -� SPECIAL HANDLING PROCEDURES <br /> ...�. ,S <br /> lII&C��A 93245 <br /> �I701VE <br /> »s <br /> (209)943-'3011 <br /> CONTACT <br /> 'yPERSON—" `- <br /> �ia7Lf317[W17i".� .1 .,,. ....:.c.a.`"—..+....,.a.., <br /> �l7[7L� t <br /> S1GI�IATUR OF AUfIORIZED-AGENT-METTLE DATE <br /> WASTE TYPE , _ RECEIVING 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 /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACIUTY (209) 982-4298 PHONE <br /> '191 = ���' s'rOc�crr (2 0 9) 982- 1009 FAX <br /> AME 7-4 rX-'j,,� _7 C. TRACTOR LIC '�,� b f TRUCK NUMBER <br /> ADDRESS f /7c,L­-� f� TRAILER LIC <br /> CITY,STATE, ZIP g '�r„r �, ���(� TRAILER LIC # <br /> PHONE 72wyl-,2 ,�yt,(/�rr END,pUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE F AUTHORItED AGENT 4 0 El El <br /> OR DRIVER DATE ROLLLOFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUIIC YARDS <br /> Forward shall have no obligation fo 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 <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ DISPOSE BIO AERATE STOCKPILE OTHER <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 U SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> • <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> GNATURE OF AUTHORIZED AGENT DATE <br /> /' /� / r ❑ ASH <br /> OTHER <br /> SCHEDULING 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 /> TO SCHEDULE CALL (209)982-4298 <br /> Fol(c 9511 NH)6 46 SALES COPY — MANIFEST # C 7120 C � <br />