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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> ►' I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> 01 JOB,ACCEPTANCE NO. 4.6 — s-06 <br /> rrr GENERATOR_ =w _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ <br /> rj SatArD�, _n:t. !c _ � ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> [MAILING ADDRESS ,_ r _ �_� ❑TY-VEK I-]OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> [CfTY STATE ZIP_ <br /> _(� { b� C�► 3 6� <br /> [CX]NTACT P)ERSOIV <br /> �$_GNATURE OF AUTHORIZED AGENT f jnt <br /> • WASTE TYPE __y _ _ _ _ RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL f <br /> • j2kDISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ (209) 982-4298 PHONE <br /> tLsbrjs�� 9 � � (209) 982- 1009 FAX <br /> b <br /> R po J CA "FS 36 G <br /> NAME ` -_ � _ _— _NOTES — �- TRUCK NUMBER <br /> 49 <br /> STATE,ZIP <br /> PHONE END DUMP _ BOTTOM DUMP _TRANSFER <br /> Dra — _- _ --�_ _ 0 -- <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE _ ROLL-OFFS)�_�FAT LBED _ VAN _ DRUMS _ <br /> El <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 d 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 _ ISPOSE BIO AERATE STOCKPILE_ OTHER - <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 _ SPlL- <br /> conditions are expected to change'such that Forward will be able to accept <br /> the waste / _ _- ❑ SLUDGE <br /> • REMARKS - mm .--_=..-._' -� __ _ � __ _ <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER _ <br /> C _ - _ �_ _ k _ - - ❑ WOOD <br /> » [S]GNATURE F AUTHORIZED AGE 7DATE r - <br /> -- - -- - - - - ❑ ASH <br /> u �' �f ❑ OTHER ML <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSALi1PON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209)982-4298 f <br /> 0 « <br /> � <br /> MANIFEST# <br /> TRANSPORTER DOPY <br />