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NON-HAZARDOUS WASTE MANIFEST <br /> "NWARD M . WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. r_ <br /> - <br /> GE ERATOQ„ f " �;: w...,....... REQUIRED PERSONAL PROTECTIVE EQUIPMENT -- <br /> �' ' F'Y J L ",!1'Z``"`'�ti j [:]GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD FIAT <br /> jr <br /> MAILING ADpQ ,,LAKEW001)- $I.VD 1 - ❑TY-VEK ❑OTHER <br /> CITY, STATEP2 �' 7� 9a24u - -- - - SPECIAL HANDLING PROCEDURES <br /> PHONE 310-923-9878 - - <br /> CONTACT PERSON <br /> SIGNATURE OFF UTHORIZED AGENT /TITLE DATE i <br /> TY� RECEIVING FACILITY <br /> • cr � <br /> 4�t:1 ❑ SLUDGE <br /> TREATU04T SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ONSTAUCfl IL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> !rONSTF'�UCT�bN SO1L E:1 ASH � <br /> s r e•«� ❑ OTHER <br /> foe *-*--a a MANTECA, CALIFORNIA 95336 <br /> GENERAT1N L 'v �t yMMPM771 _ - ____ _ 209)-82-4298 PHONE- - <br /> �� �-- - y (209) 982- 1009 FAX <br /> NAME <br /> NOTES TRUCK NUMBER <br /> ADDRESS <br /> 57 7S <br /> . CITY, STATE,L ZIP.-,cnt3 r-Z 0_ I G^ r �" <br /> • PHONE ti• - `' ,'% END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other \-V <br /> impairconditionsthe <br /> safepair the safe and eoperati disposal of the waste or it the waste DISPOSAL METHOD' (TO BE COMPLETED BY FORVtq�p <br /> impairs the sate and efiechve operation of the Landfill Forward shall use _ <br /> reasonable efforts to promptly notify Disposer of its f mbtilty to accept the BIa- AMMM <br /> waste for any reason If Forwards ref Tsai to accept the waste is based on -- _ — - <br /> weather or other sde conddrons,Forward shat)nobly the Disposw when arta 50fL <br /> • condAmns are expected to change such that Forward will be able to accept <br /> the waste <br /> # REMARKS Y ❑ SLUDGE <br /> _ ,,.5 <br /> • FACILITY TICK NUMBER _- — -- -— --- -_ �- ❑ ASBESTOS <br /> --._-_ ..,....�_�.._...._�� ❑ WOOD <br /> SIGNATURE OF AUTHORI_Z7EENT _- DATE ' <br /> ❑ ASH <br /> Z> f ❑ OTHER <br /> Lm I IIIIII <br /> I 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 ;� 9 �6 4 <br /> SALES COPY MANIFEST C <br />