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— �' NON-HAZARDOUS WASTE MANIFEST <br /> _ FOR WARD <br /> 4' WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. - <br /> _ <br /> , i REQUIRED PERSONAL PROTECTIVEEQUIPMENUV-� ._ <br /> ❑GLOVES [:]GOGGLES ❑RESPIRATOR ❑HARD HA <br /> ` D �".. ,. t� � ❑TY-VEK ❑OTHER <br /> sti1D N� <br /> r — SPECIAL HANDLING PROCEDURES <br /> a� 1 = �3 <br /> CONTACT PERSON- �`^.""-"" 1.` –�.., - <br /> R� C ,rr, a)Q - <br /> SIG 7URE OF AUTHORIZED AGENT <br /> GEI�T/_TITLE DATE <br /> RECEMNG FACILITY <br /> 0t 6 SLUDGE <br /> TREAT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ISPS01L ❑ WOOD <br /> ON SOIL ASH <br /> 9999 SOUTH AUSTIN ROAD <br /> CON� ❑ <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> IMERA ILRv - (209)-982-4298 PHONE <br /> �1 N l) ca, <br /> , --- <br /> �„ kG�� A 4 (209) 982- 1009 FAX <br /> �� .,:r1 SA , C �► I� Z s�7- 234/ �j <br /> NAME NOTES "✓RUCK NUMBER <br /> ADDRESS <br /> CITY,STATE,ZiA <br /> PHONE END�DVMP BOTTOM DUMP _TAANSFEA <br /> 1 ` ❑ ❑ <br /> SIG E O AUTHORIZE ENT R DATE ROLL-OFFIS) FLAT-BED <br /> CUBIC YARM____ <br /> FORWARD INC. LANDFILL - - — <br /> Forwmd shall have m obligator to accept the waste d weather or other w - <br /> condrbons mnir the safe and effective disposal of the waste or rf the waste � <br /> unparrs the safe and effective operator of the Landfill. Forward shall use - <br /> reasonable efforts to promptly mtdy Disposer of eta urabdlty to accept the <br /> waste for any reason- It Forwards reftmal to acoept the waste is used on IL <br /> weather or other site cored o Forward shall notify the Deposer when alto - � <br /> • conditions are expected to chmVe such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> tUOtt-FFW%BLE _ r <br /> . — — Q ASBESTOS _ f <br /> woocr <br /> SIGNATII "DI= _ rt ❑ – <br /> ASH <br /> OTHER- ---- - --- <br /> a <br /> SCHEDULING MUST BE MADE PRIOR TO 4-00 P.M THE DAY PRIOR TO EXPECTED ARRML • AIRY UPISCHEDuLED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES Y11ST BE SCHEDULED MATH THE LANDFILL THE DAY SEEORE <br /> TO SCHEDULE CALL (209)982-4298 WVVEW 041704 <br /> GfEXE3iATOR COPY <br />