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rwWWARD WASTE MANIFEST <br /> WASTE i ATMENT AND DISPOSAL FACILITY <br /> �/VC' JOB ACCEPTANCE NO. 5 / <br /> _ <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ❑GLOVES ❑GOGGLES El RESPIRATOR E]HARD HAT <br /> MAILING_ADDRESS ❑TY-VEK_ ❑OTHER <br /> _P, U box <br /> CITY,STATE ZIP s,_ w u - SPECIAL HANDLING PROCEDURES: <br /> • irl . un�on ,- bra CfGy��3 <br /> PHONE . <br /> COtJTACT PARSON <br /> (!rcw,:J fit, Hu r <br /> SIGNATURE OF AUTHORIZED AGENT,_•� DATE <br /> • WASTE TYPE „ RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • Er DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY __ (209) 982-4298 PHONE <br /> � <br /> - ci�fc ve { 1 <br /> _.... <br /> 2 app E ,�vr ^n I Ke, 1,100 C1 (209) 982- 1009 FAX <br /> NAME . ..,TRUCK NUMBER <br /> 3E 11� 'TQ . 9 w zy i S/ 7 <br /> ADDRESSS k <br /> t.0 a t* <br /> u r�erra ssTri - FT 5SGol <br /> • CITY,STATE ZIP �` Aq <br /> r <br /> PHON <br /> ( :sur sn <br /> t Ott e" ,; ' ; ,,END DUMP BOTTOM DUMP TRANSFER <br /> (cl ve,) 7Z G O 4{10 <br /> SIG T.UR.E OF AUTHORIZED AGENT OR DRIVER OATE, A <br /> - OF 8 FLAT-BED❑ VN ❑ <br /> ._.. _ .-. DRUMS��,',. <br /> 2 Y. <br /> FORWARD INC. LANDFILL cuslc_vaos� <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 y,,. �.i;,�- ; _DISPOSE BIO AERATESTOCKPILE -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 si - <br /> conditions are expected to charge such that Forward will be able ccept <br /> • the waste. ❑ SLUDGE <br /> REMARKS <br /> __ .. -. _._ . .:... _,r ;.._.... . " ...;._:` ....:.....:.,.;r>. NON-FRIABLE <br /> _� .- ❑ ASBESTOS <br /> FACILITY TIC �1UM _ T <br /> ❑ WOOD <br /> SIGNA E A O D'" ENT, / DATTE <br /> El ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO4:06 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL51(3i4GOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (209)982-4298 3054 <br /> MANIFEST # <br />