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' NON-HAZARDOUS WASTE MANIFEST • <br /> II%RWARD 11 _ ii� WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> GEN RATOgg P r , ,., , ;, "�,-„ s �, ,Y' REQUIRED PERSONAL PROTECTIVE EQUIPMENT - - <br /> i' .tix L .Y 01, <br /> `' ❑GLOVES ❑GOGGLES [:]RESPIRATOR ❑HARD HAT' <br /> MAIUNG ACMU04 LAKE JOO�, ❑TY-VEK ❑OTHER <br /> 00�N7,7 r CA 900240,___ SPECIAL HANDLING PROCEDURES <br /> CITY, STATE, ZIP _YA _ _ <br /> PHONE 3-10-923-r-9 - <br />' CONTACT P,;FR§ TL <br /> SIGTUW C)fagUTHORIZED AGENT I TITLE DATE <br /> WAi RECEIVING FACILITY <br /> • • ��aa ❑ SLUDGE <br /> ©*TREA?11.'"4T SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> DISPQ-ONSE� C'TO ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> •CONST%JC�ION SOIL ASH <br /> �,•,�� ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> IGNs;RAT1tclrn'x OIL 77=1 (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAMEDc �Rcarr Tri.,�I]SF'.?R?'AT_v�� NOTES TRUCK NUMBER <br />' ADDRESS <br /> �. <br /> All <br /> PHONE ��=`�'' ` END DUMP BO— <br /> TTOM <br /> DUMP TRANSFER <br /> ❑ ❑ ❑ <br />' SIGNATURE 9F AU_[HORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS- <br /> El <br /> I <br /> FORWARD INC. LANDFILL CUBIC YARDS <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 F <br /> OFP <br /> impairs the safe and effective operation of the Landfill Forward shall use - <br /> reasonable efforts to promptly ratify Disposer of ds inability to accept thewaste for AERATE <br /> weather orad her via rep n It Forwards refusal to conddwns Forward shall pt the waste r based on SOIL <br /> nvMy the D+�poser when site ❑ - <br />' conddions are expected to charge such that Forward will be able to accept Y <br /> the waste. ❑ SLUDGE <br /> ` FaAAhIKS <br /> -'-- - ---- ' — ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> K���-�- ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT,'`- -_ " DATE_ <br /> ❑ ASH <br /> - ❑ OTHER <br />' SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL r 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 MANIFEST # C 9298 <br /> _ SALES COPY _ _ _ __ <br />