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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> �►� <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. g6 iig <br /> GENERA_TOR _ _ _ _ _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> [-]GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING ADDS _ ❑TY-VEK ❑OTHER <br /> -`• G, 6� _ �- ----W ------- SPECIAL HANDLING PROCEDURES <br /> C#TY STATE,ZIP <br /> PHONE -- <br /> CONTACT <br /> CONTACT PERSON _ <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> 7k ' <br /> WASTE TYPE RECEIVING FACILITY _ <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FQRWARD INC LANDFILL- <br /> • DISPOSAL SOIL ❑ WOOD Ia,_ <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATINGFACILITY _- (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> 4. <br /> N&MK NOTES TRUCK NUMBER <br /> _ <br /> ze <br /> ?6_0 <br /> ADDRESS <br /> C�l f4 <br /> - CITY,STATE,ZIP _ _ ____� `, `+'�• �/� �,/�� <br /> PHONE _ - END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED- ENT OR DRI DATEROLL-OFF(S)_ _ -FLAT-BED - -VAN --- DRUMS <br /> !/- - - ❑ - ❑- - 1:1El <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 _ DISPOSE 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 - - OIL <br /> conditions are expected to change such that Forward will be able to accept <br /> • the wasteE] SLUDGE <br /> REMARKS_ _ W- - --- _____ - ------_—_—�_ � _ <br /> _- - -- - -- - - -- - -- ❑ NON-FRIABLE <br /> _ __ ASBESTOS <br /> FACILITY TICKET NUMBER _ _ _ <br /> - -- - - ---- - ❑ WOOD _ <br /> SIGNATURE OF AUTHORIZED AGENT W DATE <br /> - ---- ----- ----- - --- --- - - --- - ❑ ASH <br /> 7k" -�/� ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR W4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL 0 ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209)982-4298 108707 <br /> MANIFEST# <br /> GENERATOR COPY <br />