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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. :5200. 4 <br /> (GENERATOR. '` REQUIRED PERSONAL.PROTECTIVE.EQUIPMENT, <br /> ❑GLOVES ❑GOGGLES [:]RESPIRATOR ❑HARD HAT <br /> K4AILLNG,ADbRESS ❑TY-VEK ❑OTHER <br /> CITY,STATE,ZIP <br /> SPECIAL HANDLING PROCEDURES <br /> r <br /> - PHONE <br /> :CONTACT PERSON ', <br /> i <br /> 5 <br /> II 'SIGNATURE OF AUTHORIZED AGENT`1 TITLE _ ` DATE <br /> ,W, STE TYP,E ;' € RECEIVING FACIUTY <br /> I • ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> I ❑ CONSTRUCTION SOIL ❑ ASH <br /> •• ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> ,GENERATINGEACLITY ' , (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> I <br /> `NAME TRACTOR LIC # ,= � , t' TRUCK NUMBER <br /> ADDRESS TRAILi R LIC_# 1 "6 ,111111 <br /> .lqI7Y,',mTe,Zip" TRAILER UC.# ' G <br /> I <br /> FkOIY/(�i IIE 1 ZI 1 a c END DUMP BOTTOM DUMP tTFi ,N§FEfR <br /> t .� � 1 1 i �' I <br /> s qN,� AUTHORIZED-AGENT,OR DRIVER,t ROLL-OFF(S)SATE i' FLAT-BEVAN I' ' UNI <br /> ,t - ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL C `C Ds, 1 _ r C t (IFS 5 I lil _; <br /> �r a� <br /> Forward shall have no obligation to accept the waste If weather or other <br /> conditions impair the sate and effective disposal of the waste or if the waste DISP{]SAL METHODI (TO, COMPL..ETED,�3Y'FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use t 1 7 'II <br /> reasonable efforts to promptly notify Disposer of its inability to accept the '�"'�' >' ,DISPOSE 1310 1':AERATETf3C} ILH li OTHERI <br /> waste for any reason If Forward's refusal to accept the waste is based on 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 E] SLUDGE <br /> NON-FRIABLE <br /> 7 i 1 1 ❑ ASBESTOS <br /> I FR ILGfI;I CICL4 <br /> NUMBER, ,,"',, � ": i <br /> ' ❑ WOOIJ <br /> 'SLG,NWU, SOF'Al1THOI El 11AGENT 1 ', [ E,I„ <br /> — t ❑ ASH <br /> 1 Zr' ❑ <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 <br /> F01(C9511NH)6 96 RAI FR ropy MANIFEST# C -101 1 1 <br />