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*0ORWARD NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> GENE RATQR C b X f co X REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> b �sg AJ r E- L7 1z G fej SGLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES _ <br /> CITY, STATE, ZIP <br /> - PHONE <br /> 60,17- 3.3919 NDS - ,�1 4 Ld <br /> CONTACT PERSON 7:yac_,,c7"F ,.� <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> WASTE YPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • J9 DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> " 0 K 4 ^0 x <br /> (209) 982- 1009 FAX <br /> NAME � r � ,�..-;�---� � 'is NOTES TRUCK NUMBER <br /> ADDRESS <br /> • CITY,STATE,ZIP <br /> • PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ ,R1, <br /> SIGNAT OF AUTHORIZED ) (PL 1J'"OR DRIVER DATE j ROLL-OFFS) FLAT-BED VAN DRUMS <br /> 13 El 13 El <br /> 7 <br /> FORWARD INC. LANDFILL f`` 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 1310 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 ❑ 50lL <br /> • conditions are expected to change such that Forward will be able to accept <br /> • <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBE} ASBESTOS <br /> ❑ WOOD, <br /> SIGNATURE OF AU,f19116RIZED AGENT DATE\ <br /> _ f <br /> ❑'ASH <br /> [:]'OTHER <br /> , f <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)982-4298 <br /> MANIFEST # <br /> GENERATOR COPY IS RE <br />