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- �, ���� NON-HAZARDOUS WASTE MANIFEST <br /> • « y WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> GENERATOR -� s""`�" .- - =_- _ - REQUIRED PERSONAL PROTECTIVE EQUIPMENT�;.y,:_a ,* <br /> Ht� L}iOM�ANY� <br /> ❑GLOVES [-]GOGGLES [-]RESPIRATOR ❑HARD FIAT <br /> MAILING BLVD - _ yL- ❑TY-VEK ❑OTHER <br /> -�nr+�ifi�i tiwl� � L4tf SPECIAL HANDLING PROCEDURES <br /> CITY,STATeY <br /> - <br /> PHONE 310_92- -987 <br /> CONTACT PERSON <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATES <br /> e <br /> WASTE TYP ,,; RECEIVING FACILITY <br /> 111 r <br /> Ej SLUDGE <br /> • *TREATMfa►ITsSOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> �iiiDISPOW4SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> i CON�t _JON SOIL ❑ ASH <br /> ` . ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> ("ERAq _I� ^ w ^���0P_°:•� - (209} 982-4298 PHONE <br /> �--- =� (209) 982- 1009 FAX <br /> ,. <br /> NAME NOTES TRUCK NUMBER <br /> ADDRESS / <br /> .!CITY STATE,.ZIR V _--+ -2- <br /> PHONE <br /> .PHONE *`�` y 1.r END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS _ <br /> — ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> condrtxxm impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD' (TO BE COMPUTED BY FO pJ <br /> impairs the sate and effective operation of the Landfiil Forward shall use t ,. <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _BIO= AFRpQE <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 succi that Forward vAR be able to accept <br /> the waste ❑ SLUDGE <br /> REMAFiiZ <br /> NON-FRIABLE <br /> FACILITY TICKET NUMBER ❑ ASBEST05 <br /> [3 WOOD <br /> SIGNATURE OF AUTHORiZEFzENT DATE - <br /> _ ----�-- ,� ❑ ASH <br /> r. ❑ OTHER <br />' SCHEDULING MUST BE MADE PRIOR TO 4 DO 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 MANIFEST # C 9 29 <br /> S <br />