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5 <br /> WARD <br /> '3 NON-HAZARDOUS WASTE MANIFEST <br /> i + WASTE =ATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. 93 — 373 <br /> GIORsFJPQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> f`]GLOVES (]GOGGLES ❑RESPIRATOR ,E]HARD ,- <br /> MA1I�I.G ADR :r_ y Y ❑TY-VEIC E]OTHER <br /> CIT� "_ <br /> Tp SPECIAL HANDLING PROCEDURES <br /> R E,ZIP iW <br /> • Jos <br /> • <br /> PHgt4r,, ►�-r_- 368 - <br /> J 1 V <br /> CO�iTACT P R§ON <br /> l.orrs <br /> SlGylt E F AUTHORI AGENT 1 TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> • TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • �] DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> e ❑ OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> GIERATIj�IG Fl4C�L�TY _ _ (209) 982-4298 PHONE <br /> a.a•:iCa� �ror�OLi <br /> 3783 T`a`` (209) 982- 1009 FAX <br /> ;.-acv, Cam <br /> NAlZ2ard Truckle&, rnc. -- NOSE TRUCK NUMBER <br /> ADP SSS._ox 218 y —_ -- - " E. R616tor, <br /> . CT,.rT,a�'PP <br /> PHQ fi3�-Cs83Q _ , D <br /> END I�MP _ � BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL cuBlc YARDS <br /> ,8 Cl•Sic `facds <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 FORWARE <br /> impairs the safe and effective operation of the Landfill Forward shall use <br /> reasonable efforts to promptly notrfy Disposer of its inability to accept the ; � DISPOSE BIO AERATE JSTUGCPILEOTHER <br /> waste for any reason If Forward's 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 <br /> • - = ❑ NON-FRIABLE <br /> FACILrTy TICKET NUMBER " ".- " ASBESTOS <br /> WOOD <br /> SIGNA U OF A RI_ZED AGENT -� DATE. <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS A- <br /> SUB.fECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFOF <br /> TO SCHEDULE CALL (209) 982-4298 MANIFEST # 11399 <br />