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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. I - 0 ? <br /> GENERA OR d o REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> C �[✓I C (Z_p E c 1/t1 ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> CITY, STATE, IP� �3 � SPECIAL HANDLING PROCEDURES <br /> r <br /> S T, . r C�fJ 9"Z,,AS ?,14 <br /> PHONE <br /> CONTACT PERSON <br /> yV f' t�7 rT I /�` v V t 1r2 D P�,4 0iuTf-L . z7z o ec eit,C <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE <br /> OAX� _ I <br /> WASTE YPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL E❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> e f (209) 982- '1009 FAX <br /> p s ff f4 �`7 <br /> NAME NOTES TRUCK NUMBER <br /> ADDRESS `�► ..� � <br /> . CITY,S ATE, 7JP <br /> . PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED A NT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> R 0 1:1 El <br /> FORWARD 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 (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 OTHER <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 nota the Disposer when site <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 NUMBER t ❑ ASBESTOS <br /> _ ❑ WOOD <br /> SIG NATUREQF AUTHg4'1 td1,AGEW.,/ DATE <br /> ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 OO 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 /> MANIFEST # 67987 <br /> GENERATOR COPY <br />