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�.� FORWAVNON-HAZARDOUS WASTE MANIFEST <br /> INCORPORAWASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCkPTANCE N0. <br /> GENERATOR <br /> e' � r d REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> MAIL NG ADDRESS !'��^J [:IGLOVES 0 GOGGLES E]RESPIRATOR [jHARD HAT <br /> 15-113 ❑TY-VEK E]OTHER <br /> CITY, STATE, ZIP � � � <br /> _ SPECIAL HANDLING PROCEDURES <br /> - PHONE � . �L �� 5 t' tl ��2 C O Ti 7 j <br /> 2-D�P- 6a�_ /�0 AJ f <br /> CONTACT PERSON �" S T g <br /> SIGNATURE OF AUTHORIZED AG N T1 L vl.fiSf.r uc <br /> y / TITLE DATE <br /> WASTE YPE <br /> RECEIVING FACILITY <br /> ❑ TREATMENT SOIL SLUDGE <br /> • ,DISPOSAL SOIL NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> E:1 CONSTRUCTION CONSTRUCTION SOIL <br /> WOOD 9999 SOUTH AUSTIN ROAD <br /> • �:1 OTHER <br /> MANTECA; CALIFORNIA 95336 <br /> GENERATING FACILITY <br /> 0 C c � w�� � � EwNE <br /> -4 <br /> Af <br /> NAME <br /> ADDRESS <br /> • fir'' 8 4'S 'w'r 1 ` a. ey ' # k niiw;�,iYti 4� d rnw 'rFo w <br /> • CITY, STATE, ZIP <br /> • : F�✓,1# � w_ai`Y �`�-r.tar .t rbi`- .r m s St v <br /> PHONE 0 <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC. <br /> LANDFILL CUBIC YARDS <br /> Forward shall have no obitgation to adept 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 accept inability <br /> he wasteois based the <br /> on DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason if Forward's refusalo ccephall notify the waste s when site SOIL <br /> weather or other site conditions, Forward that Forward will is able to accept <br /> • conditions are expected to change such ❑ SLUDGE <br /> the waste <br /> • REMARKS ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER ❑ WOOD <br /> SIGNATURk,QR�1UTHORI�D AGENT DATE <br /> ❑ ASM <br /> 7k ',`" ://F ,;4 ❑ OTHER <br /> ,r <br /> 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL A ANY UNSCHEDULED LOADS ARE <br /> SCHEDULING MUST BE MADE PRIOR Ta <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 MANIFEST # 6 7 C38 8 <br /> GENERATOR COPY <br />