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NON-HAZi DOUS WASTE MANIFEST <br /> WFORARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. C,,, — /Z y p <br /> GENERATOR.. _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ���V�) G (,✓Ct7(� C/(j If 54y7} ❑GLOVES E]GOGGLES []RESPIRATOR []HARD HAT <br /> MAILING ADDRESS _ p TY-VEK ❑OTHER <br /> Po (_:tX. 7 SPECIAL HANDLING PROCEDURES: <br /> CITY,-STATE;ZIP <br /> • lZ(J _ �J i Sri} __ �� _ _ _ <br /> PHONE - �, .. 77, <br /> 7C -7 37 6c( Z. <br /> CONTACT PERSON <br /> 13 t IkC 00/444 P - <br /> SIGNATURFE OF AUTHORgED AGENT f-. TITLE .» DATE <br /> C <br /> WASTETYP Y.,�_.... RECEIVING FACILITY— <br /> • J/ <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • Q DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> •• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ c. «_.: . . _, �: (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME. _ - " ._r - <br /> _ NOTES t TRU NUMBER <br /> ADDRESS <br /> • <br /> CITY;sWE.ZIP-_.a <br /> PHONE <br /> END DUMP, <br /> DUMP _ TRANSFER :_ <br /> El El 77, <br /> 1 RE OF AUTHORIZED AGENT.OR DRNER -DATE r7F77 ROLL=OFF(S).�i � BED RUMS.ELAT e;_VAT[ '�D <br /> _ F7 .-- <br /> ❑ p ❑ <br /> FORWARD INC. LANDFILL <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 D18POSAL METHODS (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 "` '"� 810:= AERIEOTHER' - <br /> waste for any reason. If Forward's refusal to accept the waste is based on 0 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. ❑ SLUDGE <br /> • REMARKS NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT v^ 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 /> TO SCHEDULE CALL (209) 982-4298 MANIFEST # 35020 <br /> GENERATOR COPY <br />