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F 0 KWA R <br /> NON-HA/ `RDOU3 VtiASTE MANIFESN\ OR aT <br /> I C O R I' f WASTE TF. ENT AND DISPOSAL FACILITY <br /> TL�J .rM <br /> JOE ACCEPTANCE N0. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT- . <br /> 5ULT'HL SAD ST ter 1_ I ': r ❑GLOVES ❑GOGGLES []RESPIRATOR ❑HA HAT <br /> ILING ADDRESS ❑TY-VEK [:]OTHER <br /> _1391) NORTH MA.I N <br /> CIT ;STATEZIP;^ �;'; SPECIAL HANDLING PROCEDURES: <br /> MANTECA . CA 9—:',3_')() _ . <br /> PHONE ' ..,,. . ... .. ._ ...._w.. _.,... ._- .... <br /> BOB DEN 1 NNO <br /> $IGNAT,IIRE OE` . THORIZ GEN /TITLE. DATE <br /> ' '`ter021- <br /> WASTE TYPE�: }y, RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY <br /> (209) 982-4298 PHONE ' <br /> 1399 NORTH MAIN N0K'_I•110ATF (209) 982- 1009 FAX <br /> MANTECA. CA <br /> NAME, NOTES: <br /> M NL l & ON , I i liCf.1 N6 I <br /> ADDRESS r th r 9 <br /> ' _CITY,pSTATE, ZIR, _ �.. .�: .,.L..,• :.. <br /> 6ACf-, 1n11-,N i'v <br /> l HONE _, END DUMP BOTTOM DUMP TRANSFER <br /> ( 91brsol—b, 4 �' ❑ ❑ <br /> _SIGNATURE OF AUTHORIZ D 6,GENT,OR DRIVER DATE . ROLL-OFFS) FLAT-BED,..,- VANi,} DRUMS <br /> CUBIC YARDS 7 <br /> FORWARD INC. LANDFILL 1 <br /> I _ : rS <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 DISPOSALMETHOD: (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 4 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 ❑`.501L `. <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> -- <br /> NON-FRIABLE <br /> ❑ <br /> MBERASBESTOS <br /> F„��CILITY�TICKET NU ,,,, -, _ 1. . <br /> 1G--} ❑ WOOD <br /> SIG ATAT R OF AUTHORIZED AGENT DATE <br /> ._,...Nr.,, .. _.�_.�. _... . .. .. _.--_. r�•;.... ,..- /'� .__... ..... El 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 ; <br /> TRANSPORTER COPY MANIFEST # C r) 2 3 8 <br />