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NON-HAZARDOUS WASTE MANIFEST <br /> FORWARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> ` ►1VC" JOB ACCEPTANCE NO. <br /> - /AT R REQUIRED PERSONAL PROTECTIVE EOUIPMENt, 441-IM <br /> /Z I J/1jS; E]GLOVES ❑GOGGLES [-]RESPIRATOR ❑HARD HAT <br /> AILi G ES ADDAp j d' ❑TY-VEK ❑OTHER <br /> CITY,5 ATE,ZI � SPECIAL HANDLING PROCEDURES <br /> PHONE 1 <br /> TT CONT CT PERSON ' ` <br /> U / ' /`Ji�G'�S <br /> SIGNATURE WAUTHORIZED AGENT / TITLE DATE'!! <br /> WASTE TYPE "' i`�} Y r RECEIVING FACILITY <br /> t7 i <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br />� <br /> El CONSTRUCTION SOIL ❑ ASH ASH � <br /> e, ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> A <br /> s GENERATING FACILITY /J (209) 982-4298 PHONE <br /> 3 r <br /> (209) 982- 1009 FAX <br /> E NOTES ` ' r,`-� ,f,,; a,�TRUCWNUMBEI 2,' <br /> ADDRESS ;,' <br /> CITY,STATE, ZIP <br /> PNO � - , ' ,';� ,�,x END bUMP'eafi'�x� �,E30T�OIVI DUMP NS�l; '� <br /> /J ,r X ,, n aC e4 i r A... <br /> SIGNATURE OF U <br /> ORI AGENT OFi DRIVER 6AT9 J ;��'�'� ROLL-❑OFF(S),b f"'P AT-�Eb��,��Ir���3 <br /> �1 1z-1f ❑ o o ❑ <br /> E CUBIC YARDS"='P�` � � <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other <br /> rj conditions impair the safe and effective disposal of the waste or if the wasteDISPOSAL METHOD; r' Eu(TO$E$OMELE tl)$ /4R <br /> impairs the safe and effective operation of the Landfill Forward shall use LME t f e ' , <br /> reasonable efforts to promptly notify Disposer of its inability to accept the 6466E <br /> waste for any reason if Forwards refusal to accept the waste is based on <br /> f� 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 i <br /> kffi the waste G/ ❑ SLUDGE <br />! FIEMAhKS N T„y r< r. 'r rem �l r€i r r'f :`Y�m 'xr4 <br />�� ❑ NON-FRIABLE <br /> r s ; ASBESTOS4FACIITIK"UMBR <br /> � " <br /> r ❑ WOOD <br /> fI SIGATO �XUTI 16�ZEb AGENTf,-Y 'y>r_: IAT L � : ,;' <br /> r Y <br /> El ASH <br /> : ❑ OTHER <br /> I IEDULING MUST 13E MADE PFS OR TO 4 UO r M TI IE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> 3t IT;JECf io nF- LISAL UPON ARr1lVAI- ONGOING DAILY DELIVERIES MUST 13E SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> Vi ",CIIEDULE CALL (209) 982-4298 MANIFEST # 6560 <br /> GENERATOR COPY <br />