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e <br /> n # FORWARD1 NON-HAZARDOUS WASTE MANIFEST <br /> O R P O R A TED k WASTE TREATMENT AND DISPOSAL FACILITY <br /> JCB ACCEPTANCE NO <br /> G�AERAT R C p o REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> � / N C �ROw ❑GLOVES ❑GOGGLES [:]RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK [:]OTHER <br /> CITY,STATE, ZIP SPECIAL HANDLING PROCEDURES _ <br /> • '�; ! i L .vf1 C'/9 li'S7 i�' G!> h 1 ('p .v!r1/ J�- F 1� -'a' L <br /> PHONE f z 7�>e <br /> CONTACT PERSON <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE - <br /> WASTE T PE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> TREATMENT SOIL E❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ' <br /> ❑ OTHER <br /> • MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> ra >, <br /> (209) 982- 1009 FAX <br /> lo <br /> NAME �� �ld �� r D � � ,,•,, . NOTES j TRUCK NUMBER <br /> ADDRESS <br /> . CITY, STATE_41P <br /> PHONE END'DUMP ��BOOTDUMP TRANSFER <br /> ❑ ❑ <br /> SIGN URE OF AUTH IZ A NT OI(DF IVER DATE ROLL-OFFS) FLAT-BED VAN D <br /> 11�� RUMS <br /> 1 _ ❑ <br /> El ❑ El <br /> FOR RD INC. LANDFILL CUBIC YARDS <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 DISPOSAL METHOD <br /> impairs the safe and effective operation of the Landfill Forward shall use (TO BE COMPLETED BY FORWgRD) <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPILE 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 ❑ SOIL <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ <br /> SLUDGE <br /> REMARKS <br /> ❑ NON-FRABLE <br /> FACILITY TICKET NUMBER }) ASBESTOS <br /> - SIGNATURE OF AUTHORIZED AGENT ❑ WOOD <br /> DATE <br /> ❑ 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 /> ' %UBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SCHEDULE CALL(209)982-4298 <br /> fMANIFEST # 67986 <br /> /.^.�NFRATfIf�f r1nV <br />