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FORWARD ` NON-HAZ�DOUS WASTE MANIFEST <br />WASTE TREATMENT AND DISPOSAL FACILITY <br />INC' JOB ACCEPTANCE NO. I - 5 � tO,&� <br />GENERATOR <br />QUID PERSONAL PROTECTIVE EQUIPMENT <br />m (a I, <br />GLOVESRE[I GOGGLES [I RESPIRATOR HARD HAT <br />MAIUNGADDRESt <br />❑TY-VEK ❑OTHER <br />sl N, IA)tl L0 lzv �4 )S— <br />CITY, S TE, ZIP <br />SPECIAL HANDLING PROCEDURES: <br />PHONE <br />CONTACT P RSON <br />DJIt, vn`1 <br />SIGNATUR- AUT RI E TITLE DATE <br />* /o <br />• WAS E <br />RECEIVING FACILITY <br />❑ SLUDGE <br />❑ TREATMENT SOIL <br />❑ NON -FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />SOIL <br />• F1 DISPOSALCONSTRUCTION <br />❑ CONSTRUCTION SOIL <br />❑ ASH <br />El ASH <br />9999 SOUTH AUSTIN ROAD <br />❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />GENERATING FACILITY <br />mo La l <br />/yl/ d' <br />(209) 982-1009 FAX <br />'�5 <br />Finck �v c+ -mi <br />NAME <br />ADDRESS <br />NOTES: _ . - ?TRUCK NUMBER <br />C/ 7 <br />y� <br />J5/ QV, /3E',--AM'I/L 20 <br />7 Q J 3 Z� <br />. CITY, STATE, ZIP _ <br />• K0 D j 0 /t-- 9 J d `/ (D <br />PHONE I <br />END DUMP BOTTOM DUMP '.TRANSFER <br />U <br />O <br />SIGNATUR F G OR DRIVER DATE <br />ROL�(S) FLAT -BE VAN DRUMS <br />�kwrx 16& �4{. <br />❑ ❑ ❑ ❑ <br />FORWA D IN . LANDFILL <br />CUBIC YARDS <br />Forward shall have no obligation t accept the waste if weather or other <br />conditions impair the safe and effective disposal of the waste or if the waste <br />impairs the safe and effective operation of the Landfill. Forward shall use <br />DISPOSAL METHOD' `(TO BE COMPLETED BY FORWARD) <br />reasonable efforts to promptly notify Disposer of its inability to accept the <br />POSE 810 AERATE STOCKPILE OTHER <br />waste for any reason. If Forward's refusal to accept the waste is based on <br />❑ SOI <br />weather or other site conditions, Forward shall notify the Disposer when site <br />' conditions are expected to charge such that Forward will be able to accept <br />the waste.tj <br />• 11� <br />SLUDGE <br />REMARKS <br />❑ NON -FRIABLE <br />FACILITY TIC�T NUI�AB�R �' <br />ASBESTOS <br />❑ WOOD <br />SIGNATO UJHORuED AGE N r% DAT <br />❑ASH <br />Ft OTHER <br />SCHEDULING MUST BE MADE PRIOR TO 4:00 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 MANIFEST # 41971 <br />GENERATOR COPY <br />