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NON-HAZARDOUS WASTE MANIFEST" <br /> FORWARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. C17fy <br /> - <br /> GENERATORi t REQUIRED PERSONAL PROTECTIVE EQUIPMENT 4�`W�VA <br /> ING AX>; <br /> KSS/G rr{ E5 G ❑LOVE GOGG ES ❑RESPIRATOR HARD HAT <br /> t�- Z SPECIAL HANDLING PROCEDURES <br /> ClTY�,STATE, ZIP <br /> /7'v_S• �7 <br /> n ,ONTACTPERSON <br /> SIGNAT F UTHORI AP - / TITLE DATE"-- i <br /> WASTE TYPE r ."s ^ j L RECEIVING FACILITY <br /> 3 <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ,� ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (2 09) 982- 1009 FAX <br /> AMENOTES f>< _ °� TRUCK NUMBER-,4:v <br /> A.PESS 'Q r LL / <br /> 7Y ,t_ l� fi <br /> • CITY,STATE,ZIPPYONE <br /> �r �� / `r ` END DUMP'- BOTTOM DUMPJ�_WVA SFEI � <br /> 3y- r�'oo'� E]3 ❑ <br /> SIGNA UE OF AUTHORIZED AGENT-9R DRIVER DATE ; ROLL-OFF(S)1, F`LA7 BES'' Aff <br /> ❑ ❑ ❑ �❑ <br /> FORWARD INC. LANDFILL CUBIC YARD/s-],Y,*,w-' <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 it the waste DISPOSAL METHOD {TO BE COMP D Ya OFiWA4�D�. <br /> Impairs the safe and effective operation of the Landfill Forward shall use W M �:• a>sir r ON <br /> "x <br /> ft <br /> ti`sx �C <br /> t1 reasonable efforts to promptly notify Disposer of its inability to accept the r.�r,, 'C�i r • . <br /> waste for any reason If Forwards refusal to accept the waste is based on 6 SOIL <br /> 11 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 /> F4EMARKS <br /> NON-FRIABLE <br /> RAGIl1T1� TICKET NUMBEI�rf, -,71,771r 71%h77 r-1ASBESTOS <br /> y f < <br /> ❑ WOOD <br /> 3f(jN6RE)6F`AUTHOjZEDiCIT'� r` ' i• DATM ``""'1 ' <br /> El ASH <br /> I ❑ OTHER <br /> SCI IFDULING MUST BE MADE f(IIOR TO 4 Oo I'M 71 IK DAY PRIOR 10 EXPEC f ED ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> IECT 3O REf USAt_UPON ARRIVAL ONGOING DAILY DELIVERIES MUST 13F SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> ruUL.E CALL (909) 9132-4298 MANIFEST # 6558 <br /> GENFFIA f OF1 COPY <br />