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FORWARD <br /> _, NON-HA,.,,RDOUS WASTE MANIFEST <br /> ri9�`1L� WASTE TREATMENT AND DISPOSAL FACILITY <br /> INE' JOB ACCEPTANCE NO. /n - 1Z77 <br /> GENE TOR f REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> �>prr-jylNY-k=— <br /> []GLOVES ❑GOGGLES ❑RESPIRATOR HARD AT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> lle-,D V,--7ZnlZ . <br /> CITY,STATE, ZIP - SPECIAL HANDLING PROCEDURES: <br /> '•r=.: • PHONE <br /> ZO9- fx;((_83i� <br /> CONTACT PERSON <br /> I�( (.dS <br /> " $IGNAT .EbF TkiORIZED AGENT /TITLE DATE <br /> WAS STYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑yRfEATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL - <br /> • 'E6 DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> ,. NOTES: TRUCK NUMBER <br /> - END DUMP BOTTOM DUMP TFANSFER <br /> l 1:1 ❑ ❑ <br /> d-AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> �7 �� ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuBlc 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:impairs the safe and effective operation of the Landfill. Forward shall use (TO BE COMPLETED BY FORWARD) <br /> reasonable efforts to promptly.notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPIE .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. ❑ <br /> • REMARKS SLUDGE <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> S NAT . OF THORN AGENT DATE <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOq Tb 4: 0 .M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVA .ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (209)982-4298 MANIFEST # 6537 <br />