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FORWA . 'NON-HAZARDOUS WASTE MANIFEST � <br /> I NCORPORATEL WASTE TRE, .TIENT AND DISPOSAL FACILITY <br /> JOP ACCEPTANCE N0. $•� - 5��� :: j <br /> GENERATOR. <br /> REQUIRED GLOVES []GOGGLESONAL ENT <br /> - RESPIRTECTIVE OATOR WARD HAT <br /> MAILING ADD KESS, �.. . .: 7_1 VEK [:]OTHER <br /> CITY,STATE,ZIP `- SPECIAL HANDLING PROCEDURES: <br /> -t : S�x,k;�-4►n CIS �(52.d5 -- <br /> PHONE: <br /> Z©q _ 5 3__ _�1 - <br /> .CONTACT PERSON -< <br /> 'SIGNATURE OF AUTHORIZED AGENT,I TITLE' ; DATE . <br /> WASTE TYPE : - -�� RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL E] NON-FRIABLEASBESTOS FORWARD INC. LANDFILL <br /> • .0 GO STRUCOSAL IO - El WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY <br /> -4298 PHONE(209982 <br /> - <br /> sAn&Xkm ' O-p, (209) 982- 1009 FAX <br /> NAME NOTES. TRUCK NUMBER <br /> ADDRESS I <br /> K LJ V w I <br /> . • [114 laves 0,�J� ►�-v+, Ste:�c 9 <br /> . CITV.STATB,ZIP. - <br /> lulac�.s <br /> PHONE ENb DUMP •. . BOTTOM DUMP TRANSFER <br /> SIGNATURE OF. AUTHORIZED AGENT OR';DRIVER DATE" BOLI -:OFFS) 1=LAT BBD- VAN DRUMS— <br /> CUBIC-YARDS . <br /> FORWARD INC. LANDFILL <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: 1TO BE•COMPLET'ED.BY FORWARD) j <br /> impairs the safe and effective operation of the Landfill. Forward shall use - I� <br /> reasonable efforts to promptly notify Disposer"of its inability to accept the _4 D_ ISPOSE BIO AERATE STOCKPILE _OTHER <br /> waste for any reason. It Forward's refusal to accept the waste is based on L--I SOIL <br /> weather or other site conditions, Forward shall notify the Disposer when site I^_I � <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS -- <br /> ■ ""._.__.."_._ """"-"""".'._ ❑ NON-FRIABLE <br /> _- -— ASBESTOS <br /> FACILITY TICKETNUMBER;•" s <br /> .._.. ❑ WOOD <br /> SIGNATURE OF'AUTHORIZED AGENT, w' �:DATE, <br /> - - - - _ ❑ ASH ' <br /> / ��r ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 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 # 64758 <br /> GENERATOR COPY _ _ _ <br />