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Jan- 14-03 12 = 22P Wendt Construction 209 547 9310 P _ 02 <br /> C amp <br /> TNON-HAZARDOUS WASTE MANIFEST <br /> %MWARD <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO ;: k == ' r : =` <br /> EF*'TOR �'1 Pi�QUIRED PERSONAL PRQTFcTivEEQUIPMENT <br /> 1ZeL�- coa("l pr&A; Cts D rGLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> LING ADDRESS - ,i I.( �:+,` �aM;: ❑TY-VEK ❑OTHER <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES <br /> Le, <br /> PHONE s :�_ �,:' , :���"' < �� • <br /> CONTACT PERSON � � � ;�;':`" ti:7`�3►._ <br /> • SID++ osTftz <br /> SIG NATU E OF AUTHORIZED WENT 1 ME ` %AA w <br /> ■ WASTE TYPE ;<" FtI�/INQ�ACIL,ltY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE AS13ES-FOS FORWARD INC LANDFILL <br /> ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> • 0 'HER MANTECA, CALIFORNIA 95336 <br /> 1 <br /> GENERATINGGFXAC)j V (209) 982-4298 PHONE <br /> ii-azo 0 2-013 �' 3,�;;' <br /> 3LIZS Tre-r-j 4Jv� (209) 982- 1009 FAX <br /> -rf�► , Ca 953'72 - <br /> NAME e�r\S-t— TRUCK NUMBER <br /> S�r11A40' <br /> • CITY, STATE ZIP <br /> !mac# , <br /> 5­2 Ll <br /> PHONE l30TTQM[]UMP TRANSFER <br /> 2�- SLi'1- 310 ❑ ❑ ❑ <br /> SIGNATURE OF UTHORIZ D *GE&SJ}�DDATE �,r; �� � r x AT-BED VAN DRUMS <br /> * P ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste Lf weather or other <br /> r conditions impair the safe and effjactive disposal of the waste or it the waste ] I I �, �T �QMPI„ETED BY FORWARD <br /> impairs the safe and effeclive operation of the Landfill Forward shall use ) <br /> reasonable efforts to promptly notify Disposer of its inability to accept the D10" <br /> ly B!O AERATE 3TOCKPfiE OTHER <br /> for any reason If Forwards refusal to accept the waste is based on <br /> weather or other site conditions Forward shall notify the Disposer when site ❑ SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS I �. <br /> ❑ NOW RIABLE <br /> A56ESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURF_,OF AUT�QQZED 413 ? PATE ' a us{ <br /> / ❑ ASH <br /> ❑ OTHER <br /> C LING MUST BE MADE PRIOR TO �4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL + ANY UNSCHEDULED LOADS ARE <br /> rU T TO REFUSAL;UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> O SCHEDULE CALL (209)982-4298 MANIFEST 0 33975 <br /> GENERATOR COPY <br />