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An-AnWARD -' NON-HAZARDOUS (WASTE MANIFEST <br /> WASTE =ATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 9. — .37 <br /> 3 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ;CCS;. Li.;n1. _ T ` _ r]GLOVES []GOGGLES ❑RESPIRATOR ]HARD - <br /> MAILING ADDRESS—'--'-- - T • - ❑TY-VEK [:]OTHER <br /> . .• Baa a..: <br /> CITY, STATE,ZIP <br /> }� SPECIAL HANDLING PROCEDURES <br /> L <br /> + Sar-' Za.T.t•r., +r..c. ~7�iuJ V {�� - L. 118 <br /> PHONE T _ <br /> • r- in• <br /> �7--+3b° <br /> .I / V <br /> CONTACT PERSON "- <br /> nor,-.,a <br /> SIGNATIW7 OFjAUTHORIZED AGENT/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 /> ❑ OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> GE1. <br /> NERATING FACILITY C (209) 982-4298 PHONE <br /> i <br /> 3733 ;za`= siva. (209) 982- 1009 FAX <br /> l eacv, CA <br /> NAME NOTES -� _ TRUCK NUMBER <br /> Lii iOLu a•4'.��/4.t<a�, iii\... •••- _ -. M r-.+i.4..r. .-_ww JVV T L1J�)r i-i y' Ja.<c-.—. _ <br /> ADDRESS <br /> . CITY,STATE,ZIP <br /> PHONE _ END DUMP _4 BOTTOM DUMP TRANSFER <br /> 11 <br /> + , SIGNATURE OFIAUTHORIZED AGENT OR DRIVER DATE ROLY-0FF(S) FLAT BED VAN DRUMS <br /> El <br /> J <br /> FORWARD INC. LANDFILL cusIc YARDS <br /> i$ C..bic Yards <br /> Forward shall have no obligation to accept the waste if weather or other <br /> congitions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD• R O BE COMPLETED BY FORWARD <br /> impairs the safe and effectnre operation of the Landfill Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ," DWKMd BIO !AERATE s= OTHEr <br /> waste for arty 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 -- <br /> r. ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER - "" ASBESTOS <br /> ❑ WOOD <br /> . SIGNATUR OFA ORIZED AGENT <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 /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFCF <br /> TO SCHEDULE CALL (209) 982-4298 <br /> MANIFEST # 1 <br />