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F WARD NO PIOUS WASTE MANIFEST <br /> e - WASTESTE TRE <br /> TREAT.-_NT AND b15P08AL F'AGIL11'Y -. <br /> IlrilC' JOB ACCEPTANCE NO. - rl a5a'I k <br /> GENERATOR Q CA "}! RE UIREO PERSONAL-PROTE <br /> l LOVES ❑GOGGLES ❑RESPIRATOR FIDHAT <br /> MAILWOA[1bgES5 ,f� E , DC,� fi,14C TY-VEK [-]OTHER <br /> 61TY STA1E;LIP Cq SPECIAL HANDLING PROCEDURES: <br /> PHONE (acA 33 <br /> CbNTACTARSON <br /> SIGNAUTHORIZED A Ft DAT-E7 <br /> / /7 <br /> WA T FACRdTY <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • 0-bISPOSALSOIL ❑ WOOD gggg SOUTH AUSTINt�t�Ab <br /> ❑ CONSTRUCTION SOIL F1 ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 958316 <br /> • GENF�TINGFACWTY - . (209) 982-4298 PHONE <br /> Keillyi� CnL ue. (209) 982- 1009 FAX <br /> Lod CTA, 9s 4o <br /> NA191E A A� . J lnZ <br /> AbbAt'S rf'�•�7 1"e�J '{ Yel�i eel G*1 •1 NJ 's <br /> . CIfiY, §7ATt, ZIP Q,c, Mpa tCp. <br /> PHONE. (.IDq END DUMEl 1:3 <br /> I ; <br /> SIGNAtURE OF AUTHORI D AGENT OR DRIVER DATE ROLL-OFF(Sh _ <br /> 9- 1 x-98 <br /> FORWARD INC. LANpFILL cudlc. <br /> ,1. <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 -1 <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 <br /> waste for any reason. If Forward's refusal to accept the waste Is based on <br /> weather or other site conditions,Forward shell notify the Disposer when site . I <br /> conditions are expected to change such that Forward will be able to accept <br /> } <br /> the waste. ❑ SLUDGE j <br /> ❑ NON-FRIABLE t I <br /> ASBESTOS <br /> FACILITY TICKET NUMBER . <br /> ❑ WOOD <br /> SIGNATOR O AUTHORIZED'AGENT DATE <br /> El ASH I I <br /> ❑ OTHER I <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 /> TO SCHEDULE CALL(209)982-4298 MANIFEST # - 20817 <br /> %�._ GFNERATOR COPY <br />