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FORWAkD NON—HAZARDOUS WASTE MANIFEST <br /> �►b INC' ORPORATED <br /> WASTE TREATMENT AND DISPOSAL >=ACIUTY <br /> JOB ACCEPTANCE NO. G—7Z <br /> • ECIUIRED ETEC .EQ� <br /> [:]GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> _» ,��},. s_ ❑TY-VEK []OTHER <br /> CIiY, �� -,, �, _� N SPECIAL HANDLING PROCEDURES <br /> • PHONEof." �� <br /> _ r <br /> AL OENT <br /> ACIlTYWASE E f[ECEMNG F <br /> ❑ <br /> SLUDGE <br /> • ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • 10-DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑' ASHD•• ❑ STOCK PILE OTHER CD v k MANTECA, CALIFORNIA 95336 <br /> ERA NGQPIL�r - ;: :,n� =�� � � N (209) 982-4298 PHONE <br /> (Z09) 982- 1009 FAX <br /> E �.t 4c'� t TRACTOR LC.# s w' :u UMBER r <br /> ADDRESS _gS++����� .- --.. -� _• TRAILER�.L� <br /> 7 ~ <br /> CITY.S AT�ZIP <br />' p�� 4 y 'L"a• LIC— ILR L� # �� "T_ •—• aw,. Y ".. .:�... ..sh.n <br /> �. <br /> • ti w - END DIr3MP BOTTOM DUMP <br /> PHONE TRANSFER <br /> Elfir �f . r.� w' .- <br /> SIGgAT*E TF*JTHORIZF AGENT CMAtVER DATE ROLL(S) FLAT-BED VAN „ DRUMS <br /> El D Elr <br /> FORWARD INC. LANDFILL CUBIC YARDS x _ <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 FORWARD) <br />' impairs the safe and effective operation of the Landfill Forward shall use DI5P05E BIO AERATE STnCKP�E OITi IER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ <br /> waste for any reason If Forwards refusal to accept the waste is based on E] SOIL <br /> 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 w _ _j ❑ SLUDGE <br /> ` REMARKS <br /> NON-FRIABLE <br /> wg _ _�_, , , ❑ ASBESTOS <br /> FACILITY TICKET NUMBER ., _,. �,_, - <br />' ❑ WOOD <br /> SIGNATURE OF AUTFIORIZED AGENT Y QATE <br /> ❑ ASH <br />' * ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 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 /> 70�SCHEDULE CALL 1209)982-4298 GENERATOR COFv MANIFEST # C 6337390 <br />