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FORWARD y NWASTE T TREATMENT <br /> WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> � <br /> I []GLOVES ❑GOGGLES ❑RESPIRATOR [I HARD HAT <br /> MAILNG ADDRESS/ ��(( ❑TY-VEK ❑OTHER <br /> CIT <br /> ��TATE,dCJ ZIP SPECIAL HANDLING PROCEDURES: <br /> PON <br /> CONTACT jJPERRSON - <br /> SIGNA RE1Ie UTI�O <br /> RI ED'AGENTED'AGENT / TITLE DATE <br /> • WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> El TRMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • SPOSAL NSTRUC IO ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NA(ME NOTES: TRUCK <br /> /N JMBER <br /> C(TY,STAlE ZIP CA- !�Z <br /> _ - -- <br /> END DUMP _ BOTTOM DUMP TR:\NSFER <br /> ❑ ❑ ❑ <br /> SIGNATURE OF.AUTHORIZ kNT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN I RUMS <br /> * / ❑ ❑ ❑ ❑ <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: - (TO BE COMPLETED BY 60RWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> reasonable efforts topromptlynotify Disposer of its inability to accept the _ DISPOSE BIO AERATE�STOCKPILF: 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 when site ❑ SOIL <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> • REMMRKS` <br /> _ .. ❑ NON-FRIABLE <br /> ASBESTOS <br /> F�CILiTY TICKET'I�A•BER <br /> ❑ WOOD <br /> SIGt7{ATUE�(F AT1TfiOf?JZE ;AGENT DATE <br /> ❑ ASH <br /> I jl <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR T 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED GADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL. NGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 , <br /> MANIFEST # 15/139 <br />