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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INCORPORATED 1 <br /> T I <br /> JOB ACCEPTANCE NO. <br /> GENERATOR-1 REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> `UGLOVES []GOGGLES ❑RESPIRATOR ®BARD HAT �€ <br /> ❑ <br /> � �� _, _ - --•-fLla - TY VEK []OTHER <br /> MAIUNG 14DDi <br /> R6S 1 1 < �� '.swrn�b'r <br /> CI 17` TA ,ZII? ;• -`' SPECIAL HANDLING PROCEDURES <br /> PHON� <br /> CONTACT PERSON <br /> SIGNAjl]� YOFAUTHORIZED AGENiT%'IITLE� DATE'. <br /> 3.+ WASTE TYPE v y ,,, _ `ra " s. RECENWG FACILITYy,; <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL [:] a DOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL E] <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY 'v_'. -_;r- <br /> (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> f I <br /> r —_.zy. TRUCK NUMBER <br /> NAME �F <br /> a' <br /> rl <br /> 7C K <br /> A <br /> ADDRESS- `r -, ?,. r rf • u�. �' l fr SS . �~ �~ f <br /> } <br /> . CITY,`STA E, ZIP <br /> PHONE `{ r 4 s' r ' Y� r' ^� , .w END DUMP„ - - BOTTOM DUMP, TRANSFER <br /> El <br /> SIGNATURE OF AUTHORIZE[)AGENT OR DRIVER DATE T; #i,r' TROLL OF�[S) 1 FLAT QED VAN DRUMS <br /> � � / ❑ ❑ ❑ <br /> l <br /> FORWARD INC. LANDFILL CUB1°Y'ARo5 ` `?`' <br /> Forward shall have no obligation to accept the waste if weather or other f� <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAIL METHOD;".i--�[T4 BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use � a, X11" - <br /> AERATE SMKPILE <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ; tea -" BIO OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on IL <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 1 <br /> the waste ❑ SLUDGE <br /> RErMARKS-s= � <br /> NON-FRIABLE <br /> _ ❑ ASBESTOS <br /> FACILITY TICKET WUMBE~R{= <br /> ❑ WOOD <br /> SIGNATURE F ALfHORIi GEry 'sri Di47£',�, <br /> ff _ ❑ 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 /> TO SCHEDULE CALL(209)982-4298 MANIFEST # 80091 <br /> i <br /> IItdM1fffi�o�'r { <br />