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I <br />L <br />�! F 0 RWA j <br />INCORPORATP <br />JOB ACCEPTANCE NO. <br />NON-HAZ"DOUS WASTE MANIFEST <br />WASTE TR ENT AND DISPOSAL FACILITY <br />SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY 'PRIOR TO EXPECTED AHRIVAL * ANY Ufa bUNLUULEU LUAUS Alit <br />SUBJECT TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />' TO SCHEDULE CALL (209) 982-429$ MANIFEST 110713 <br />TRANSPORTER COPY <br />GENET OR (� °., _ (} /' .: <br />r U '.'1 <br />"CiJ� ] r (!� ,tel; <br />REQUIRED PERSONAL. PROTECTIVE EQUIPMENT' <br />GLOVES [:]GOGGLES ESPIR OR HARE) HAT <br />MAILIG: ADDRESS <br />❑ TY-VEK ❑OTHER <br />��� ✓ ` 1'` <br />CI TY, ST TE, Z�P I <br />SPECIAL HANDLING PROCEDUR <br />•_ <br />!�`~rte-� I ' - <br />,`!�. <br />, 15'I f0NE �2 n "� <br />CONTA T PERS N ' <br />SIGNATURE OF UTHORIZED AGENT / TITLE DATE <br />;WASTE TYP <br />::: <br />RECEIVING FACILITY. <br />TREATMENT SOIL <br />❑ SLUDGE <br />❑ NON -FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />• <br />IS DISPOSAL SOIL <br />❑ WOOD <br />9999 SOUTH AUSTIN ROAD <br />0 CONSTRUCTION SOIL <br />❑ ASH <br />❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />1=IERATINGFAGILITY,;. ; <br />t���iv4'rGt h <br />w <br />(209) 982-1009 FAX <br />iNA <br />NOTES .: _':. , '. TRUCK NUMBER. <br />ADDRESS <br />• CITY STATE ZIP <br />END DUMP BOTTOM Dqq ` '' TRANSFER `-- <br />s., <br />PHONE Jx f <br />42 <br />® u..., <br />❑ <br />S1GNAo Q AUTHORIZED AGENT:OR DRIVEE� BATE <br />ROLL -OFFS) Fl A7 BED VAN DRUMS <br />_... <br />El El El El <br />FORWARD INC. LANDFILL <br />cuBic°;YARI3S <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 <br />impairs the safe and effective operation of the Landfill. Forward shall use <br />;.DISPOSAL,METHOD <br />O BE COMPLETED <br />BY FORWARD) <br />reasonable efforts to promptly notify Disposer of its inability to accept the, <br />„_= <br />DISPOSE BIO,AERATE <br />STc)CKPIiE OTHER <br />waste for any reason. if Forward's refusal to accept the waste is based on <br />SOIL <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.LUDGE <br />Tt "'"'T tom, .��.a'�: ,', t�'""��' <br />- MARKS .._ <br />.. <br />NON -FRIABLE <br />© <br />_.._ .. <br />ASBESTOS <br />=° :�c'�,� <br />❑ WOOD <br />j <br />rel <br />❑ ASH <br />OTHER <br />7k <br />SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY 'PRIOR TO EXPECTED AHRIVAL * ANY Ufa bUNLUULEU LUAUS Alit <br />SUBJECT TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />' TO SCHEDULE CALL (209) 982-429$ MANIFEST 110713 <br />TRANSPORTER COPY <br />