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.FORWARD !t , NON-HAZARDOUS WASTE MANIFEST 4+4 INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. w _ GENER REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ _ __— _ /"',v ❑GLOVES ❑GOGGLES RESPIRATOR []HARD HAT MAILING ADD SS _ _ [:]TY-VEK [-]OTHER �vb' �¢ - ------ — - SPECIAL HANDLING PROCEDURES CITY,ESTATE,Zip - PHONE 7 CONTACT PERSON SIGNATURE OF AUTHORIZED AGENT/TITLE DATE WASTE TYPE RECEMNG FACILITY ❑ SLUDGE ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILLA =f [ ,DISPOSAL SOIL ❑ WOODt-y -' ❑ CONSTRUCTION SOIL ❑ ASH , , 9999 SOUTH AUSTIN 1 ; ❑ OTHER � ff MANTECA, CALIFORNIA 95336 f, GENERATING FACILITY _ 209} 982-4298 PHONE ` (2 09) 982-1009 FAX ___— TRUCK NUMBER ADDRESS 7 /w " . CITY,STATE, ZIP_' � 7Y(0 � PHONE _ci— - _ END DUMP BOTTOM DUMP TRANSFER SIGNATURE OF AUTHORIZE AGENT O ER DATE ROLL-OFFS) FLAT-BED VAN DRUMS e11119 FORWARD INC. LANDFILL CUBIC YARDS Forward shall have no obligation to accept the waste if weather or other conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) impairs the safe and effective operation of the Landfill Forward shall use reasonable efforts to promptly notify Disposer of its inability to accept the _ DISPOSE BIO AERATE STOCKPILE --OTHER-- waste THERwaste for any reason If Forwards refusal to accept the waste is based on weather or other site conditions,Forward shall notify the Disposer when site ❑ SOIL conditions are expected to change such that Forward will be able to accept the waste ❑ SLUDGE ❑ NON-FRIABLE _T _NU _ FACILITYICKET TMBER ASBESTOS ❑ WOOD SIGNATURE OF AUTHORIZED AGENT - DAT ❑ ASH V t ❑ OTHER SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)982-4298 108701 MANIFEST# GENERATOR COPY