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FORWARD <br /> NON-HA7ARDOUS WASTE MANIFEST <br /> WASTE l .ATMENT AND DISPOSAL FACILITY <br /> [/V I JOB ACCEPTANCE NO. 5// - 5Z / <br /> GE RATOR _ ,v, REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> vac)fI C, ►fie l 1 <br /> _ ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRSS_' - ❑TY-VEK ❑OTHER <br /> p. o �oX <br /> CITY,STATE,ZJP SPECIAL HANDLING PROCEDURES: <br /> .qf�1 <br /> PHONE <br /> _ <br /> CONTACT PERSON /�f ON � <br /> relljl ion rr�s <br /> SIGN URE O AUTHORIZED AGENT?TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> P/TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • bfT DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> ogle- Rood (209) 982- 1009 FAX <br /> SILoC, g/1 C a <br /> NAME NOTES... _ TRUCK NUMBER.-- <br /> ADDRESS <br /> 2530 �3err��ss�.. , #s�2-7 <br /> • CITY,STATE,ZIP <br /> PHONE „ END DUMP BOTTOM DUMP TRANSFER <br /> - , <br /> cg043dl 724. d/sh -� ❑ ❑ - <br /> SI TUR OF AUTHORIZED AGENT OR DPoVER _ DATE ROLL-0FF(S) ' _ FLAT-BED VAN DRUMS <br /> El 1:1 El 13 <br /> FORWARD INC. LANDFILL cuelc vARDs <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 DISPOSALMETHOD: __(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 ,,.�_. _ .____ BIO AERATE .OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on' El SOIL <br /> .— <br /> weather or other site conditions, Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accEpt <br /> • the waste. SLUDGE <br /> REMARKS � — <br /> .; .. .-._ ` ❑ ASBESTOS <br /> FACILITY'TICKET'NOBER ❑ WOOD <br /> SIG #URE OFiAlam/ ' <br /> �,,7/v,.,',,�.,,ORI DAG T;'... .�_ / DATE <br /> ASH <br /> U ( ,, � L, ,1�/� ❑ <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4100 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • 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 3070 <br /> MANIFEST * <br />