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+ FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 515 a <br /> b <br /> GENERATOR _ _ _ _ _ _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT ____- <br /> - �I L Sor.] �E/alrJ y T — ❑GLOVES [:]GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MA&JNG { - []TY-VEK ❑OTHER <br /> '�! a- - — — --- ----- SPECIAL HANDLING PROCEDURES <br /> CITY,STAB ZIP <br /> - PHONE <br /> CONTACT PERSON <br /> __� _ v S� Al C-LSO _ <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE - <br /> T <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILLS = -, <br /> • S-DISPOSAL SOIL ❑ WOODti; i�' <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD._ , <br /> ❑ OTHER MANTECA, CALIFORNIA 95338 <br /> GENERATING FACILITY _ (209) 982-4298 PHONE <br /> REQ+j 0-'`x - <br /> 5, ` ��---- 209 982- 1009 FAX <br /> ZZ7�� N 9� <br /> r <br /> NAME t NOTES _ - TRUCK NUMBERA <br /> ADDRESS— <br /> . CITY,STATE,ZIP <br /> PHONE _ _ _ END UMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED ENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> _ - - o - -❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC 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 DISPOSAL METHOD (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 _ 1ASPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on SOIL <br /> weather or other site conditions,Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward moll be able to accept <br /> the waste _ [-] SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> `l ~ - - --- - - ---- -- ❑ WOOD <br /> J SIGNATURE AUTHORIZED AGENT DATE <br /> _ _-- _ _ _ _ _ _-__- _-____ _ __ ❑ ASH <br /> 11 ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ME <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFPRE+ ; <br /> TO SCHEDULE CALL(209)982-4298 - MANIFEST# 10 <br /> ' GENERATOR COPY <br />