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FORWARD NON-HAZ A r)DOUS WASTE MANIFEST <br /> !'f ` WASTE TRL,_.MENT AND DISPOSAL FACILITY <br /> /NC. JOB ACCEPTANCE NO. <br /> b <br /> GENERATOLLR��a f<r' }w�3v: t µr 4'�d: s, Yat Fl REQUIREgPERSQNAUPRQTECT�YEQVIPM_qNTS tr <br /> r: ❑GLOVES ❑GOGGLES ❑RESPIRATOR []HARD HAT <br /> MAILINGADDR�SSy tj I , ❑TY-VEK []OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> CITY STATP' Sr,iR,a. <br /> • /-S � ��' rj <br /> PHONE AjWN' <br /> COIJTACf tPEFtQ d .= fi tF ' ;, 9 <br /> SIGNATURE;OF AU ORIZED�AGENT7'_ j DATE a <br /> • W STET PEtif .,. ��,-.dam��',• RECEVIN .ACI '"3' tmtssa�ar w �rtv���cz' r x;.v <br /> �� ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • [I DISPOSCONSTALsolL ,E]ASH . 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION-SOIL E] ASH <br /> ❑ OTHER MANTECA, CALIFORNIA.95336 <br /> GENE�WTINGFACWTY,, 's+5 r,i'?TgMVi tA�i ^ ; (209) 982=4298 PHONE <br /> / s'Gµ (209) 982-1009 FAX <br /> UKNs UMB <br /> PERs <br /> ADDRESS 1 `tfivEl ..ice k iS T ai,1 `.-t+ <br /> PHONE %_3 _ �� F%� �" ` _ END:DUMP , :. ;BOTTOM DU P TRANSFER. <br /> (JY. ' .. <br /> _ <br /> SIGNURE_OFTHO <br /> AURIZED:AGENT,OR:DRIVER, DATE ROL-L�-O�F(S) TFLxf- :.VAN DRU <br /> ATMS '. r <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cI�BIcRDs1 „w�; rt , •u�; , <br /> Forward shall have no obligation to accept the waste if weather or other i - <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 DISPO;;��SA��L;METHOD (TO BRCOhQPI�ETED BY FO.RWARO); <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ;,•�+y,' ,ygyiiii,�". t DISPQSE .B AEAATE' STOCI�p.E <br /> waste for any reason. If Forward's refusal to accept.the waste is based on 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 ❑ SLUDGE <br /> ` REMARKS <br /> NON-FRIABLE <br /> FACILITY TICKET NUMBER ` e r.,N', ❑ ASBESTOS <br /> ,__ _ a�` J r -QwooD � <br /> SIG E OFA ORIZED GFMi, fir..'__ f DATE t> <br /> _ �--._.. r fs � --����.4 [I ASH <br /> • <br /> - - —C1Y ❑ 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 # 11738 <br /> TRANSPORTER COPY ,., <br />