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Jan -14-03 12:22P Wendt Construction 209 547 9310 P-02 <br />NON-HAZAR S WASTE MANIFEST <br />1��WARDINC. WASTE TREATMENT AND DISPOSAL FACILITY <br />.® `® JOB ACCEPTANCE NO. y~)�i4.lcq'',6. <br />GENER*TOR 1 " �; b t F TTT1il{[IF�ED-PE RSONAL F9QTECTIV E. QUIPMENT; ., . <br />$P �e5� CoaS� PCOA\,kcts ['GLOVES ❑GOGGLES []RESPIR.ATOR E] HARD HAT <br />M/UUNG ADDRESS ❑TY-VEK ❑OTHER <br />y Ce•. -u- 901,r\}t Oc'eate <br />CITY, STATE, ZIP ' t'3' ; t �+'k: SPECIAL HANDLING PROCEDURES: <br />Lr, PaIMA Cq �ofrj�3 none - <br />u <br />PHONE <br />0536 o— I .gr11 <br />CONTACT -PERSON �.` <br />» <br />Scoff- $TPtQ __ <br />SIGNATU E OF;AUTHORIZE�. 1'E.E "° ?p/�1E' <br />t . <br />* <br />V <br />WASTE TYPE 7,17 77,..;'R.:la[INCAEIIaT'f ' <br />❑ TREATMENT SOIL <br />❑ DISPOSAL SOIL <br />❑ CONSTRUCTION SOIL <br />❑ SLUDGE <br />❑ NON -FRIABLE ASBESTOS <br />❑ WOOD <br />❑ ASH <br />GENERATINQ-FXj i' Y5 <br />1}rzo # ZoR 3 n <br />3��iS Troc y l3tvai .-�r�'`'' <br />-t-PA" 9 S3'?C <br />FORWARD INC. LANDFILL <br />9999 SOUTH AUSTIN ROAD <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />(209) 982-1009 FAX <br />NAME : -"` •;�... <br />�e<►�fi f- <br />s TRUCK NUWIBER. <br />ADDRE':`5�t;: a- <br />SS <br />S d Aa r -rn,C_ <br />Y <br />_tom <br />P.O. <br />pp <br />•CITY, STATE, ZIP:. it a ',i t�it�, Li 4 <br />. .. <br />Lod � G„ 9241 <br />PHONE ; 5OTTQM DUWIP` . TRANSFER -- <br />2D - St-fq:?/ 0 <br />❑ ❑ <br />THORIZ <br />SIGNATURE OD;�D,31/t� yDTE; <br />E(AT-BED VAN DRUMS <br />o o. a ❑ <br />FORWARD INC. LANDFILL. <br />� <br />Forward shall have no obligation to accept the waste if weather or other <br />conditions impair the safe and efloctive disposal of the waste or if the waste <br />impairs the safe and effective operation of the landfill. Forward shall use <br />� (T,�CpMPCETED BY FORWARD) <br />reasonable efforts to promptly notify Disposer of its inability to accept the <br />�,,,�• ,�-;�,� .-.� � p(�p• BID AERATE t3TOCKPILE OTHER <br />waste for any reason- If Forward's refusal to accept the waste is based on <br />weather or other Forward <br />❑ SOIL <br />site conditions, shall notify the Disposer when site <br />conditions are expected to change such that Forward will be able to accept <br />the waste. <br />❑SLUDGE <br />REMARKS � <br />❑ NON -FRIABLE <br />y Z°r5,i`:�ir t. <br />FACILITY TICKET NUMBER . ,_,,: , y,, <br />ASBESTOS <br />❑ WOOD <br />SIGNATUR OF AUTAGRIZED 4G zis Tf: '�' �r s <br />❑ASN <br />❑ OTHER <br />iCHEDULING MUST BIE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED <br />LOADS ARE <br />iUBJECT TO REFUSA4 UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />O SCHEDULE CALL (209) 982-4298 <br />33975 <br />MANIFEST <br />GENERATOR COPY <br />