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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> ►� INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. _ j � -7 <br /> GENERATOR C O K CEJ X REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> f ` GLOVES GOGGLES RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS " N ❑ ❑ [:]RESPIRATOR TY-VEK [:]OTHER <br /> owI44FAD D9 <br /> CITY, STATE,Z P � SPECIAL HANDLING PROCEDURES <br /> • S 7, /- L r-,0,4 CX Z/_S_-7 EC © 1/✓!rr�%R 7-�r 7 �a f L <br /> PHONE <br /> CONTACT PERSON 5rr NS <br /> G✓/ r6F1 T Z�� v/d2o.A.11-44�AJ,7�4 <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE <br /> zz- <br /> WASTE TYPE , <br /> 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 /> " <br /> [-I OTHER <br /> • MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209),9g2t'4„°�981�+ (��NE - <br /> 11-14 57 <br /> NAME a <br /> ADDRESS <br /> EF <br /> • CITY, STATE,ZIP ✓u G �` " i `�w� 'F ' ^'''zrif13 i 'a ;f A� � <br /> PHONE AU P <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> CUE3IC YARDS <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other DISPOSAL METHOD TO BE COMPLETED BY FORWARD <br /> conditions impair the safe and effective disposal of the waste or if the waste ( ) <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPOSE BIO AERATE 87=KPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> waste for any reason If Forward's refusal to accept the waste is based onr✓I SOIL <br /> weather or other site conditions Forward shall notify the Disposer when site LJ <br /> ' conditions are expected to change such tl at Forward will b abl to accept � SLUDGE <br /> the waste r� <br /> • REMARKS I` P NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER E WOOD <br /> - SIGNATURE OF AUTHORIZEp AGEN''� DATE ASH <br /> Ll OTHER <br /> iiiiiiiiiiiiso <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL Q ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MU'9r BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209) 982-4298 MANIFEST# 8 6 3'1 3 <br /> GEfvERATOR COPY <br />