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(2D% <br /> FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. - <br /> GENERAT R )[ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> MAILIf�G +r C " F_0 �� � GLOVES [:]GOGGLES ❑RESPIRATOR ❑H <br /> CITY,STATE, ZIP ALO HAT <br /> ADDRESS ❑TY VEK ❑OTHER <br /> 15 ?3 X A � 5_A`] SPECIAL HANDLING PROCEDURES <br /> • _ <br /> PHONE ' <br /> CONTACT PERSON <br /> W)ZI G A(f tl/XG Al 1-4 V1,- S /1-i- <br /> SIGNATU E OF AUTHORIZED AGENT/ TITLE DATE <br /> WASTE YPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> • ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95338 <br /> GENERATING FACILITY (209) 982-4298 PHONE f <br /> (209) 982- 1009 FAX1114 57 , <br /> r§ <br /> NAME _ I NOTES TRUCK NU� <br /> ADDRESS -� <br /> . CITY,STATE,ZIP '",} <br /> PHONEEND DUMP BOTTOM DUMP TRANS <br /> r` ❑ ❑ g <br /> SIGNATGR�OF AUTHQRIZEtf7 AGEi�j�f/OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN ARUM <br /> ` 1 El El El <br /> S f .s <br /> I <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other PRD) <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FSR ER <br /> impairs the safe and effective operation of the Landfill Forward shall use 00 <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE S'IOCKPILEI <br /> waste for any reason If Forwards refusal to acceptthe waste ,s 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 - ElSLUDGE <br /> ` REMARKS / I <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMULR ASBESTOS <br /> ,� <br /> El WOOD <br /> SIGNATURE OF AUTI`I�?11 AGENT DATE , <br /> - -- r ] ASH <br /> NEW— OTHER <br /> r <br /> 5 ARE <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL c ANY UNSCHEDULED LOA' FORE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHE=DULED WITH THE LANDFILL THE DAY 6 <br /> TO SCHEDULE CALL (209) 982-4298 67 <br /> 7 9 <br /> MANIFEST# �g <br /> GENERATOR COPY ��� <br />