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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> �+ I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. G I U - 5Ca <br /> GENES RATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Iv S' S ��� ,,�� 7r s1 ,GLOVES ❑GOGGLES ❑RESPIRATOR ARD HAT <br /> MAILING ADDRESS ❑TY-VEK []OTHER <br /> CITY, STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> 0n , �a. aS33 <br /> PHONE <br /> ICC)- 51: <br /> CONTACT PERSON <br /> N\1 %\A �)a,n '\)4 Le h <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE <br /> I rtU� V <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> R ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> ATC L T15=cc,a�e:. <br /> ADDRESS <br /> CITY, STATE, ZIP <br /> f�locl�=gyp CU �75.3�5 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> Z09- 5 79- Z Z Z- ! ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other 2 <br /> condrt�ons 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 STOCKPILE 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 Q SOIL <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 NUMBER ❑ ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> �(7 1�D C� ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a 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 <br /> MANIFEST # E L47 19 <br /> r.GnIeRATltC!rriov <br />