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�- � FORWARD r E. NON-HAZARDOUS WASTE MANIFEST <br /> IIVcC4RPOR A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0, x: 00 <br /> ,GENERATOR REQUIRED PERSONAL PROTECTIVE EOUIPMENT_, <br /> I ❑GLOVES ❑GOGGLES ❑RESPIRATOR [HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> r , <br /> ICITY,STATI*, ZIP _ •' SPECIAL HANDLING PROCEDURES <br /> r F t <br /> ICONTACT PERSON <br /> ,SIGNATU,RE OF AUTHORIZED AGENT/`TITLE DATE <br /> • WASW iTYPE r =REQEIVING FACILITY -,"va <br /> I ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> I • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY t' - (209) 982-4298 PHONE � <br /> (209) 982- 1009 FAX <br /> NAME ` TRACTOR LIC # ' TRUCK#NUMBER= <br /> `ADDRESS 1 _ TRAILER LIC # <br /> . ,CITY,1$TATE�Z pI , V TRAILER LIC. # <br /> PH©NE �; ', z END DUMP BOTTOM DUMP TRANSFER_- <br /> ❑ El <br /> 'SIGNATURE QF'AQTHORIZED AGEfg L1Ert!DRIVERY DATE ROLL-OFFS) FLAT-BED', , VAN- , `' I3AdV$, <br /> ❑ ❑ ❑ ❑ <br /> I CU 1pvtwDS ` i ys'S 47S i;" <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 ,DISPOSAE METHOD '(T0,8E=COMPLE D BY FaRWARQ),r <br /> impairs the safe and effective operation of the Landfill Forward shall use ,, _ ,rx r' i s < c €, <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ` I; ISPO$ S[Oii I , s?�Gt�" OTM ,r <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 ❑ SOIL <br /> I " conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> • E�A`R�S`11 t it ,s,t, t <br /> = i' ��, � € r a ° � �3 �, ''i i s <br /> ` t 1!` ' `i ' NON-FRIABLE <br /> I <br /> V ❑ ASBESTOS <br /> ; ACILITYr TIC{FTi'NUMI3EF,{,,� �`_ :r r S ri r i ,l3i ':,' `_ 'l,s <br /> ❑ WOOD <br /> IPQO 4ATiL7*4(*,AUTHORIZED AGENT, 111DATE 1 <br /> ❑ ASH <br /> i" <br /> ❑ <br /> OTHER <br /> ISCHEDULING 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) 982-42986MANIFEST # C <br /> SAI FS ropy <br />