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' NON-HAZARDOUS WASTE MANIFEST <br /> _ ,. .tUKWAKL) <br /> WASTE TREATMENT AND DISPOSAL FACILITYINCQRPORATED <br /> JOB ACCEPTANCE NO. <br /> GENERATE ��s z' _;�t,;,..� jk .eta �-*=?�_„ t��^, .,, REflLIIREC? SDS r PROTEC_TIVE t�UIPMEt�; <br /> GLOVES GOGGLES [:]RESPIRATOR y❑HARD HAT <br /> MNG ADDRESS } "' � TY VEK OTHER <br /> ^-'- '- --� SPECIAL HANDLING PROCEDURES <br /> flITY;SAfE�ZiP ,�- <br /> .,...�_ Jf <br /> PHO <br /> CONTACT_ RSON " <br /> SIGNATUREO>ryAUTHORIZED AGENT% <br /> • WASTE I PE' " M„ �_ 'mak' _ RECEIVING FACILITY <br /> _ I <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • Q­DISPOSAL SOIL ❑ WOOD <br /> F1 CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACIUTY (209) 982-4298 PHONE <br /> � r <br /> r- y ,/ ,� {�" �f-_ti; (209) 982 - 1009 FAX <br /> ME _ NOTES TRUCK NUMBER <br /> ADDRESS <br /> CITY,STATE, ZIP <br /> • c -- <br /> PHONE f J f END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE-0F ATJTHORIZED AGENT OR DRIVER DATE t ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ Cl ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shaft have no obligation to accept the waste if weather or other t <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 DJSPOSE B10 AERATE STOCKPILE OTHER <br /> reasonable 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 ❑ SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> TI ❑ NON-FRIABLE <br /> FACIEfTY CKET NUMBER"., ASBESTOS <br /> _ _.. _ __ ._ ,.�_ _ _ ., _. .,_ -... - ❑ WOOD <br /> SIGNATURE OF AUTHORIZEb AGENTS DATF <br /> '�. - ❑ 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 57840 <br /> MANIFEST # <br /> SALES COPY <br />