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ErJA WARD NON-HAZARDOUS WASTE MANIFEST <br /> 1.010 I N C O R P_O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> J613 ACCEPTANCE N0. 8 .3 0� <br /> _ <br /> GEfVERATOR ;, �'�_ REQUIRED PirRSQNAtPRD7ECTNE EQWPMENTr- �" <br /> Md B�d�Pctrr� ®GLOVES ' "�'' ` . <br /> ❑GOGGLES ❑RESPIRATOR ®HARD HAT <br /> SZ1We_Ptpe ❑TYVEK ❑OTHER <br /> __ - --r - <br /> ;ITY STAF_';lSPECIAL HANDLING PROCEDURES <br /> • -«rrw.w.��v��µw.. —.rY .s� .. hr"w lLw.�r _ _ _ <br /> yars�i i <br /> CONTACT PERSDN <br /> ?fi*fllcrsdiz <br /> f _ED,AGENT-% DATE <br /> TITLE <br /> Y Cly^ <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL [:1 NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • 1E] DISPOSAL SOIL ❑ WOOD <br /> CONSTRUCTION SOIL 0 ASH OTHER 9999 SOUTH AUSTIN ROAD ` <br /> ❑ STOCK PILE MANTECA, CALIFORNIA 9533E <br />' GENERATING FACILITY <br /> (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> TR�C�T� <br /> ADR LIC #i TRUCK NUMBER <br /> DRESS VV�►►�--�-�L' ! -_ <br /> !O TRQPE�ICi# <br /> - CITY, STATE,ZIP l 7117 <br /> 4 <br /> TRAILER LIC ir <br /> END DUMP BOTTOM DUMP TRANSFER <br /> El <br /> SIGNATU OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> r �� <br /> El El 13 <br /> rr <br /> FORWARD INC. LANDFILL cUaIcARDs <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 <br /> Impaia the safe and effective operation of the Landfill Forward shall use DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> reasonable efforts to promptly notify Disposer of its inability 10 accept the DISPOSE BIO AERATE sTOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the Waste is based on I�1� - " <br /> weather or other site conditions Forward shall notify the Disposer when site 1 J�J <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> REMARKS ❑ SLUDGE <br /> • OONTON-F"41ABLE <br /> FACILITY TICKET NUMBER BEST <br /> SIGNATURE OF AUTHORIZED AGENT DATE, r OODHHER <br /> CHEDULING MUST BE MADE PRIOR TO Q 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 Oi IC857iNH)fi o6 <br /> SALES COPY MANIFEST # C 720237 <br />