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NON-HA7ARDOUS WASTE MANIFEST <br /> WARD WASTE ATMENT AND DISPOSAL FACILITY <br /> 'fes' JOB ACCEPTANCE NO. 93 — 3:3 <br /> GENERATORs�-� k _ _ _ _ __ _ _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 1��=�.3�C=�:�G ❑GLOVES ❑GOGGLES ❑RESPIRATOR �]HARD r <br /> MAILJNG ADDRESS s < _ -- .� ❑TY-VEK ❑OTHER <br /> CITY, STATE,zip � n V� _ - SPECIAL HANDLING PROCEDURES <br /> + Jbia 4nlQluv�a� CA S'+1t�.42 <br /> • PHONE <br /> "" —_:,c8 <br /> CONTACT PERSON <br /> SIGNA7 R O AUTHQR1ZEfl GENT /TITLE DATE <br /> 7�C / '' f _ tT <br /> wASTE TYPE ,/ RECEIVING FACILITY <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 /> T1 <br /> ocal J�oa.10;7 UJ�V <br /> 3733 Trac,, Bl,'. (209) 982- 1009 FAX <br /> Tracy, ..r+ <br /> NOTES TRUCK NUMBER <br /> NAMEi LOLL Tz�,ZLina, 1n.L. JGV nL`7 j ; t. <br /> ADDRESS svA z:a _ <br /> . CITY, STATE, ZIP _ <br /> Y ti a o n y arcf ` a 1 <br /> PHONE j END DUMP BOTTOM DUMP TRANSFER <br /> Er— J ❑ ❑ <br /> SIGNATUR OF AUTHORI D AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> i ❑ ❑ ❑ ❑ <br /> c4C4,04 all(,19 3 <br /> FORWARD INC. LANDFILL CUBIC YARDS, o }, , �^ <br /> 13 b 1 V._..� XS 4"a <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 DISPOSE 1'110 AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notrfy Disposer of its inability to accept the <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 Qisposer when site <br /> + conditions are expected to change such that Forward unll be able to accept <br /> the waste ❑ SLUDGE <br /> ` REMARKS <br /> NON-FRIABLE <br /> _ ASBESTOS <br /> >=, CILiTY TICKET NUMBER <br /> ._ _ ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT Wy - DATE T 4 <br /> C3 ASH <br /> �k , ��� �� ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS AR <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORL <br /> TO SCHEDULE CALL (209) 982-4298 MANIFEST # '� 5 0A <br />