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FGWWARD `~ NON-HAZARDOUS WASTE MANIFEST <br /> RNE• WASTE ?E:ATMENT AND DISPOSAL FACILITY <br /> ;_ JOB ACCEPTANCE NO. <br /> GENE TOR _ - <br /> j�� C / " REQUIRED PE_RSONAL PROTECTIVE EQUIPMENT <br /> MAI ADDRE _ ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD hL <br /> �ss - ❑TY-VEK ❑OTHER <br /> C�SmTE ZIP SPECIAL HANDLING PROCEDURES: <br /> /F � y <br /> _ PHONE, I 4- � Z Yl'G� L <br /> CONTACT PERSON NG)A1 <br /> SIGNATURE OF AUTHORIZED AGENT <br /> WASTE TYPE „ . RECENING FACILITY _ ; <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • [Z DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> El OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> teh-t M , le (209) 982- 1009 FAX <br /> - �fC3GK-{T�n CA <br /> NOTES: <br /> a ._.TRUCK NUMBER <br /> RE <br /> ADDSS <br /> Z53p _"ger�,�eSs� Rd��52�•��<,� �� FT5 3Go/ <br /> .CITY,STATE,ZIP <br /> Ci <br /> PHONEti ��xe, CH _ y� <br /> _ K _ END DUMP BOTTOM DUMP TRANSFER_ <br /> — SIG TU_ OF AUTHORIZED.AG NT OR'DRNER +_ DATE ROLL-0FF(S) _®_,FLAT- ' VAN »:DRUMS <br /> * Lt/ S 15i ❑ ❑ ❑ ❑ <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 <br /> impairs the safe an :d effective operation of the Landfill. Forward shall use (In BE COMPLETED BY FORWARD) <br /> reasonable efforts to promptly notify Disposer its inability to accept the a ,,, ,,,� -- SPOSE - BIO - AERATE .: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 whe - SOIL <br /> conditions are expected to change such that Forward will be able t bept <br /> • the waste. <br /> -_____- �.. El SLUDGE <br /> REMARKS:..l ,_.. .-,.a_Ha..a.ss <br /> f -/ ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILIPS'TICKET INJABER <br /> T�}}��gg f1ff D El WOOD <br /> SIONATURF�O _AUTHOR EAG DATE " - <br /> [//v/ ❑ ASH <br /> ��J❑ OTHER <br /> SCHEDULINd'VOST BE MADE PRIOR TO-4,60 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL GOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209)982-4298 3059 <br /> _ MANIFEST # <br />