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FORWARD <br /> _ NON-HA" RDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. -- 7 2. <br /> GE AT y ❑REQUIRED PERSONAL PROTECTIVE EQUIPME <br /> 4� S �L a J GLOVES GOGGLES ❑RESPIRATOR D`HAT <br /> LINGA ESS t]TTY-VEK ❑OTHER <br /> 15 Y, STAT ZIP SPECIAL HANDLING PROCEDES: <br /> • SNE f; S <br /> C /I S zyU <br /> y 6.i �y <br /> TA� - -Fy e,// <br /> SI U F /AAUTT�H_ORI AG T / TIT DAT <br /> Y/ <br /> 7 S <br /> • WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NM-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> RA G FAC Y <br /> G .c Q,S (209) 982-4298 PHONE <br /> /00 <br /> C,// (209) 9820009F X <br /> S � <br /> NAME p6-a/ E i -V-4 r / C K I/'� 'J NOTES: rdv' x K':NUMBEE# , <br /> ADDRESS y-7y0 ti prlyler Rd-1 V _Z <br /> CITY, STATE, ZIP L ri DO I CAI � �",zZ O 1 t,/ ,O 147�'y <br /> • PHONE (`L o g) 3_3 / - y o 6/ END DUMP BOTTOM DUMP ff NS EFi <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER BATE F{F7LL❑OFF(S) FLAT-BE VAN'_f.;, ib <br /> FORWARD INC. LANDFILL CUBIC YARDS <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 METHOb: (TO BE COMPLETED 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 DISPOSE BIO AERATE STOCK ,.OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions, Forward shall notify the Disposer when site OIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. <br /> ` REMARKS SLUDGE <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE F UTHORIZE A ENT DATE <br /> FI-ASH <br /> ❑ OTHER <br /> SCHEDULING MUST- BE MADE PRIOR TO 4:00 F.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO RFFUSAI UPON ARRIVAL, ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (209)982-4298 20814 <br /> MANIFEST # <br /> GENERATOR COPY <br />