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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 77,. ' <br /> GENERA OR 0 X •} jC REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> GENE, <br /> G7 s'J i C E Cc J 1V ❑GLOVES [:]GOGGLES ❑RESPIRATOR ]HARD HAT <br /> MAILWG ADDRESS ❑TY-VEK ❑OTHER <br /> CITY,STATE, ZIP � SPECIAL HANDLING PROCEDURES <br /> PHONE l � <br /> CONTACT PERSON <br /> WR-►C�H i N I l t;�n s✓ ,� �fl C �tl i( 5 r C <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE `L <br /> WASTETYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • <br /> J2'DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> r_1 CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAMI NOTES TRUCK NUMBER <br /> IM190F t)C_x11v4 <br /> • CITY,STATE, ZIP <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> . SPIIATURE C A46OR E AGEN .©- IVE DATE ROLL <br /> -❑OFF(S) FLAT-SE VAN DRUMS <br /> J El El <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste}f other or other <br /> conditions impair the safe and effective disposal of the wa t r if\the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill �o and shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPLE 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 t71) <br /> DisPoser when site El SOIL <br /> ' conditions are expected to change such that Forward be able to accept <br /> the waste `} ❑ SLUDGE <br /> REMARKS t� i <br /> ' ❑ NON-FRIABLE <br /> FACILITY TICKET NUM�BERi '� ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE OF AUTk0,RI2ED AGENT 't DATE <br /> ❑ ASH <br /> r <br /> fit <br /> ❑ OTHER <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)982-429$ MANIFEST # <br /> GENERATOR COPS 86311 <br />