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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> v►� I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. X44 - 5 C36 <br /> \GENERATOR _ REQUIRED PERSONAL PROTECTNE EQUII?MENT <br /> _ Al E C _saZ g%t�� }f _, _ ❑G!_OVES ❑GOGGLES [:]RESPIRATOR ❑HARD HAT <br /> MAILI G ADDRESS _ ❑TY VEK [-]OTHER---F-i`` _4 a x — - - -� - SPECIAL HANDLING PROCEDURES <br /> CITY,STATE JP <br /> - PHONE _ <br /> CONTA T PERSON <br /> --- <br /> SIGNATURE OF AUTHORIZED AGENT l TITLE DATE ; <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 /> ��a� '_,_ (209) 982-1009 FAX <br /> NAM_E_ _ _ NOTES_ TRUCK NUMBER- <br /> ADDRE _ <br /> . CRY,STATE,ZIP <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATUR OF AUTHORIZED AGENT OR DRIVER DATE _ ROLL-&F(S) FLAT-BED VAN DRUMS _ <br /> i <br /> FORWARD INC. LANDFILL cuBlc YARDS <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 DISPOS L ME HOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPO_SEr BIO AERATE_ S=KPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste's based on OIL <br /> weather or other site conditions Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste_ - ❑ SLUDGE <br /> • REMARKS _A <br /> - - — NON-FRIABLE <br /> _ _ <br /> ElASBESTOS <br /> FACILITYATICKET NUMBER <br /> _ _ _ -- - _ _-_ _-_-- _ -� - ❑ WOOD <br /> SIGNATUR O AUTHORIZED AGENT v DACE - <br />--� -- ---- ❑ ASH <br /> *W K OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> 3 TO SCHEDULE CALL(209)982-4298 10870? <br /> MANIFEST# <br /> GENERATOR COPY - < . <br />