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NON-HAZAgWUS WASTE MANIFEST <br /> FOR <br /> WA <br /> lIVCORPQRATED D WASTE TREATXWT AND DISPOSAL FACILITY <br /> +L+� <br /> JOB ACCEPTANCE N0. <br /> N7894f <br /> 4 <br /> f. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> OIt s :z;u ®GLOVES []GOGGLES ❑RESPIRATOR @ HARD HAT <br /> ' <br /> MAILING ADDRESS �~ []TY-VEK []OTHER <br /> 260"`cb&z a-CA <br /> CITY,STATE,ZIP-' SPECIAL HANDLING PROCEDURES: <br /> S*Uth S=FrantizcvCA 94M <br /> ' PHONE <br /> ".09, t.6^,„14iiE• <br /> CONTACT PERSON <br /> B91 L;Iik <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE <br /> 14 <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> + 0 DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ <br /> STOCKPILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME y TRACTOR LIC. # JRUCK NUMBER <br /> ADDRESS TRAILER LIC. <br /> snlfv RMA <br /> CITY,STATE, ZIP TRAILER LIC. # <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> El El <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> 7)C <br /> FORWARD INC. LANDFILL cuBlc Y�RDs.- <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 FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the �� DISPOSE B10 AERATE STOCKPII OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on SOIL <br /> weather or other site conditions, Forward shall notify the Disposer when site-- <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> + REMARKS = ; - <br /> _, <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER <br /> ASBESTOS <br /> _ _ .. ..._ ❑ WOOD <br /> SIGNATURE OF UTH_ORIZED AGENT •i DATE <br /> ❑ ASH <br /> jtJ"J r ❑ OTHER <br /> 4 <br /> 5CHEDULING 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 66.7,05.9- <br /> F01(C9511NH)6-96 SALES COPY MANIFEST # C 6 V 7,0 5.9. <br />