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FORWARD rt NON-HAZARDOUS WASTE MANIFEST <br /> I NC,O.R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> I JOB ACCEPTANCE NO. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> I ❑,GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAI (^ADDRESS �` ❑TY-VEK [:]OTHER <br /> I <br /> ICITY,STATE,APSPECIAL HANDLING PROCEDURES <br /> i r> <br /> - PHONE <br /> CONW7. PERSON' I' i <br /> I I <br /> SIG Arb]RE OF AUTHORM AGENT/'TITLE DATE � <br /> MASTS)TYPE FF ' r $ ., RECEIVING EACILI ITY r i <br /> i I <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ wooD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> "" ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> ,GENERAT INGFACII"ITY14 (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> I NAME ,M `� I TRACTOR LIC # `"' TRUCK NUMBER <br /> , r si .v F� <br /> ADDFIEs'� ' TRAILER LIC #_ , to l jq � - s <br /> • lir ,f 'STATE,"7LIP,t TRAILER LICi # <br /> IF'}'iC?NE'J I 1 E=ND DUMP BOTTONtDUMP -TRANSFER ',' <br /> oF�aI�*ORIZED(AGENf,a DRly l , I DATIJ} ROLL�FF(S) FLAT ED, VAN <br /> FORWARD INC. LANDFILL J ` <br /> sr A r <br /> 1 y <br /> Forward shall have no obhgatron to accept the waste If weather or other — <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL.METHOD: (To BE COMPLETEP FO I�W DSI <br /> impairs the safe and effective operation of the Landfill Forward shall use i 1 i a r , 1,��`t' it,#r t Ja`t=3r <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO 7 AER ITL ` ijll `6yt%R4'; <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 SOS <br /> " conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> •1 j JI IFI i 371 ! i i t I i Iri � 1! 1 J J i i r i� P <br /> IFIIIRf�JF s 13, i 2 , t ,jz Ir �j _ ti j s �J ;i Ili 1 E 7 ;a'�F7 <br /> " r NON-FRIABLE <br /> ASBESTOS <br /> I ,FAIgIL.ITyj'T1GKET'NUM0ER"'1,' f" I JJ s', ` �' i` =i i <br /> El WOOD <br /> I M� NTr,RUTHp CIDATE' <br /> ❑ ASH <br /> ' {`� ` J "� ❑ 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 f a <br /> FO (GO 511NH)6-86 SALES COPY MANIFEST # C ., r <br />