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4 ,� WARD <br /> NON-HAZARDOUS WASTE MANIFEST <br /> , - <br /> ' WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC' JOB ACCEPTANCE NO. <br /> GENERATOR _ — RE{�UIRED PERSONAL PROTECTIVE 1=QUIPMENT <br /> Q GOGGLES ❑RESPIRATOR <br /> E]HARD HAT <br /> MAILI�i G ADDRESS_ W ll^ - - v - v- HGLOVES <br /> TY-VEK ❑OTHER <br /> -- -# SPECIAL HANDLING PROCEDURES <br /> CITY,` TATE, ZIP _ _ <br /> - <br /> PHONE <br /> CNTACT�' RI� <br /> SIGNAT R OF AU�RIZED AGENT/TITLE -DATE <br /> WASTE TYPE ; RECEIVING FACILITY M <br /> ❑ SLUDGE <br /> ■ ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • 'DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ■■ ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ _ (209) 982-4298 PHONE <br /> (209) 982- 009 FAX <br /> AME _-"_- _"_ -= s - r `NOTES _ ,:TRUCK NUMBER <br /> ADDR) -------------- ; <br /> . C�TY,S7ATI=,ZIP <br /> END DUMP Nw_ 'BOTTOM DUMP 4 TRAN❑SFER,' ' <br /> L <br /> SICp M i 0 ENT,O RIVER DATE ROL <br /> YOF _FLAT-BED _VANDRUMS <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 ME HOD (TO BE 1 4 ow BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use t E <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE -BIO AE T STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on SOIL weather or other site conditions,Forward shall notify the Disposer when site )6 <br /> ■ conditions are expected to change such that Forward will be able to accept <br /> _the waste ❑ SLUDGE <br /> ` REMARKS _ _ <br /> - ❑ NON-FRIABLE <br /> - , - ASBESTOS <br /> FACILETY TICKET NUMBER _ � �_. ._�.`.,' s, _ <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT,' DATE r <br /> ❑ ASH <br /> ' �� �` ❑ OTHER <br /> 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 MANIFEST # <br /> 43314 <br /> �' SALES COPY <br />