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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> �►4 I N C O R P Q R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> ^„ JOB ACCEPTANCE NO. <br /> GENERATOR [� C r, REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> (�4 TAS-- r C rL r3 f .tJ []GLOVES ❑GOGG LES [:]RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> CITY,STATE, zip SPECIAL HANDLING PROCEDURES <br /> PHONE <br /> CONTACT PERSON <br /> C.r/' 'LID I <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • P°DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA CALIFORNIA 95336 <br /> GENERATING <br /> �� <br /> . 4-2k , 0'982=4t 'S PHONE <br /> x <br /> 5 <br /> NAME x,d <br /> s� <br /> ADDRESS ; n <br /> r �rr � }, ,` z _Gs arn �*w. i rs ,� 4* <br /> f m 9 q rt <br /> . • CITY,STATE - ' <br /> '<< W7 T :; EiVG RUMP kir�r� t'f m7 t�M4DUMP; ;� ' 1V�3FER {v <br /> PHONE El <br /> • LjTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> SIGNATURE OF P f� ! ❑ ❑ El <br /> -WARD INC. LANDFILL CUBIC YARDS <br /> ll rave no obligation to accept the waste if weather or other <br /> Forward r seffectivefea d effective <br /> Oddi opo al of the a ante orForwaifthe <br /> the waste <br /> se DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> conditions S fe a; promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPILE OTHER <br /> impairs the efforts on If Forward's refusal to accept the waste is based on <br /> reasonable re8yt6 conditions Forward shall notify the Disposer when site ❑ SOIL <br /> waste for rather gi Cted to change such that Forward will be able to accept <br /> weather or e <br /> ' conditions are 00 ❑ SLUDGE <br /> the waste <br /> • NON-FRIABLE <br /> REMARKS NUMBER ASBESTOS <br /> FACILITY 'PICKET _ ❑ WOOD <br /> OF PL)THORIZED Ai*NT <br /> SIGNATURE `; i f�\� ❑ ASH <br /> ❑ OTHER <br /> BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SCHEDULINCa NIU56AL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SUBJECT TO REFOP, (209)982-4298 <br /> EDU <br /> TO SCHLE GA MANIFEST# 6 31 <br /> GENERATOR COPY <br />