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FORWA R D NON—HAZARDOUS WASTE MANIFEST <br /> �b I N C O R P g R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> n09. ACCEPTANCE NO, L ,. <br /> GENERATOR [ :� r� REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> l; t r�. _ .� ❑GLOVES [-]GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILI14G ADDRESS_ ❑TY-VEK ❑OTHER <br /> 4 r-V �l SPECIAL HANDLING PROCEDURES <br /> CITY,STATE, ZIP <br /> w �- <br /> PHONE <br /> CONTACT PERSON f ~ .17_� <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATED <br /> WASTE YPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • El DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> as ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982--4298 PHONE <br /> CO (209) 982- 1009 FAX <br /> NAME "'" / ` NOTES TRUCK NUMBER <br /> ADD ESS <br /> .'CITY, STATE, ZIP <br /> . PHONE END,DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGVIT OR DRIVER DAT ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuBlc 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 <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 NUMBER) ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE OF AU_PAOFfiZED AGENT DAVE f <br /> ❑ AS <br /> f <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 /> MANIFEST#GENERATOR COPY <br />