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FORWARD NON—HAZARDOUS WASTE MANIFEST <br /> I(& <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> SONAL_jnOTECTNE ECUPN T <br /> Z <br /> [:]GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAI ❑TY-VEIL []OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> CITY' 7 .�;�- �� ,.. x �<_`�� ,��' ��_��.Y <br /> E�U� � <br /> CON�,PIc <br /> SIGNATU E F AUTHORIZED � - <br /> QH17Efl �E <br /> • WASTE ax _ - � _. _ � "` AECENNG_FACILffY - ,; - <br /> ,.,...._.,, .x. •.3�..-�'.c„ -....1"i.�:..w...... a.�.,......f-z ,.. ..«�. <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> '❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE OTHER + MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY_ ti wu„ _ ir ws (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> TRACTOR_LIG. <br /> L •�"`m• -'__,°�'�.. i.,m�, �yz..�,T� s,at .�� fir^ <br /> 'z" <br /> — f S {Ga <br /> � s� --rz �3'ie.•lt„ -..,,..,t-.,..,_.�,t, t^a- -r>�a`-�.+.� <br /> i-- <br /> CITX,,STA�ZIP '.. 4 _ k,; , TR�iILFR LIG # _ ,a.. = <br /> PHONE 1 .� _ _Asx _ ENRMP BOTTOM DUMP {TAAN94FER <br /> SIGI .'!RE OFf�UTHOROD AGEFT, OR DRIVER DATE, '' ,ROLL-OFFS) FIAT-BED VAN' T_DiiUMS - <br /> ' � - ❑ ❑ ❑ ❑ <br /> 'Z_ <br /> FORWARD INC. LANDFILL CUBIC YARDS �`M� ._ ` • ` <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 <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ,_ DISPOSE BIO AERATE r�OCKPLE <br /> O►i}�ER <br /> waste for any reason If Forwards refusal to accept the waste is based on SOIL <br /> weather or other site conditions, Forward shall note the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br />' the waste ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> FACILITY TICKET NMtl . ��.Y ❑ ASBESTOS <br /> F f ��le Sµ k <br /> � S� -.mL Kr.e.`;_T�I... <br /> _ ❑ WOOD <br /> NAT <br /> SIGURE OF AUTHORIZED AGb1 T DATE <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 /> FOOT scsCHEDe SCHEDULE CALL (209)982-4298 GENERATOR CC,3v MANIFEST # C 6 23 -17388 <br />