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NON-HAZARDOUS WASTE MANIFEST <br /> I .. =_T O `WAi D - WASTE TREATMENT AND DISPOSAL FACILITY <br /> � NC0RP0R-1ATED <br /> - - l JOB ACCEPTANCE N0. _ <br /> REQUIRE.DPER99 E EQUIP E € <br /> err _ # r� GLOVES [:]GOGGLES ❑RESPIRATORcat ba re HARD HAT <br /> ❑TY-VE K E]OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> • Iz- <br /> MG-NATUR _ �;AUTNORfZEENT-- TITlE DATE - <br /> • WASTE: �� F�ECENiNG FACIi�TY �T gr ,t�_ �,�,n�_?k + <br /> -- <br /> ❑ SLUDGE FORWARD INC LANDFILL <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS <br /> • "-DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> •, ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY_ .xr. 'r. _ w._ __ . (2 0 9) 982-4298 PHONE <br /> (209) 982 - 1009 FAX <br /> NOTES TRUCK NUMBER <br /> ADDRESS <br /> & r - ,36 <br /> END DUMP_ BOTTOMDUMB w 4TRANSFER <br /> El <br /> w ^._ 1:3 <br /> '„'+ s ',c - - '-~ VAN DRUMS <br /> SIGNATURE AUTHO �ZED AGNT OR DRIVER DATE F- ROLLa FF(S} ^ . ,� SLA ED _ ❑ ❑ <br /> tl i f � El <br /> L —1 r -Z�! <br /> � V <br /> FORWARD INC. LANDFILL CUBIC YARD,$ <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective dosposal of the waste or 4 the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use plOD B10 AERATE STOCKPILE `OTHER j <br /> reasonable e4#orts to promptly notify Disposer of its inability to accept the ��: <br /> �• --waste for arty reason If Forwards refusal to accept the waste is based on SOIL <br /> weather or other site condd,ons Forward shall notify the Disposer when site <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACIl�T1CKET <br /> - . .__— :, ,� ❑ WOOD <br /> IGS R OF A JI ORIZED G ;nfT x �_ AT � j w <br /> ASN <br /> 7k / r ' j !11 J ❑ <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(los) 9132-4296 MANIFEST # 57815 <br />