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FORWARD NON-HAZARDOUS WASTE MANIFEST , <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. — d F� <br /> GENE TOR c p f- e 4 REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> f- 0 ZT;4/'r C F X u✓N ❑GLOVES ❑GOGGLES <br /> ❑RESPIRATOR El HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 3 #R d t�J, x.413 /Z- <br /> • CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES <br /> • S 7 LFW A �/;� S-7 moi- �•f%�R�4 r�lA T c i� a a! <br /> - PHONE <br /> P eAl <br /> CONTACT PERSON <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE <br /> -WAST TYPE RECEIVING FACILITY ;{ `F <br /> • ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • �p`T` DISPOSAL SOIL ❑ WOOD <br /> CONSTRUCTION SOIL ❑ ASH � <br /> 9999 SOUTW,, #,� � rAUSTIN ROAD <br /> ❑ <br /> ., ❑ OTHER Ca F I �� <br /> MANTECA, 93Fa= <br /> GENERATING FACILITY (209) 982' <br /> Cox -f C c X <br /> .� (209) 9, <br /> NAME �I" —7 f P1NOTES � <br /> ADDRESS <br /> . CITY,STATE, ZIP <br /> PHONE END DUMP 90i, <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL_O0 <br /> FLA`�'RED VAN DRUMS <br /> � E] El <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obfigation to accept the waste if weather or other B!r COMPLETED BY FORWARD <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (T� } <br /> impairs the safe and effective operation of the Landfill Forward shall use 1310 AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE <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 /> • 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 NW413tR ASBESTOS <br /> ❑ WOOD <br /> SIG BE OF 7Rh7,ED AGENT DATE <br /> r—i , U�ASH <br /> ' OTHER <br /> ANY UNSCHEDULED LOADS ARE <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY P R TO EXPECTED ARRIVALHE LANDFILL THE DAY BEFORE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE 67985 <br /> O <br /> TO SCHEDULE CALL (209) 982-4298 MANIFEST # <br /> GENERATOR COPY <br />