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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> I N C O R P O R A TED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. - ' a F 7 <br /> GENERATQR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> If_/0 ;71 -AN r 'S GLOVES []GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> CITY, STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> T P, rA�,4 , c� �� 5- 741 Fv j57 L Co., A1_e r f,i5 r 1 <br /> PHONE <br /> CONTACT PERSON S >,p 4-,NS , <br /> LrJ, l � i N yr FZa,vr� .ate �C 7 vtc s l vC <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE <br /> WASTE TYPE 1 RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD <br /> CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> + ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> !'o X T C O X <br /> (209) 982- 1009 FAX <br /> �-� 5 /l-t/r S7 %f��e' Y Com,'' <br /> NAME �-� ! - �4 NOTES TRUCK NUMBER <br /> ADDRESS <br /> • CITY, STATE, ZIP / <br /> • PHONE <br /> END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ ]/ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> El El E3 El <br /> FORWARD INC. LANDFILL CUBIC 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 f <br /> REMARKS ! <br /> ` NON-FRIABLE 1 <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> - SIGNATURE OF AUTFI,ORIZEI7 AGENT DATE <br /> ❑ ASH <br /> * ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOAD' <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BE <br /> TO SCHEDULE CALL (209)982-4298 <br /> MANIFEST # F <br /> GENERATOR Ccr-Y <br />