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�l FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> �►� I NCO R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. �r -- 7 <br /> GES R�ATOP co %6a REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> /;!) "Tq, J;Ce 5g-Ru" E]GLOVES ❑GOGGLES ❑RESPIRATOR E]HARD HAT <br /> MAILING ADDRESS ❑TY-VEK [❑OTHER <br /> 15-F-3 <br /> CITY,STATE, ZIP SPECIAL HANDLING PROCEDURES _ <br /> - PHONE <br /> CONTACT PERSON -"E l'eF <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE <br /> 7 141 <br /> WASTE YPE 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 /> - r I AtA S7 C V ` (209) 982- 1009 FAX <br /> NAME � � � � NOTES TRUCK NUMBER <br /> ADDRESS s'4 <br /> • CITY,STATE,ZIP <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLATBED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> 734f <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 ISTOCKPiLr= 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 <br /> REMARKS <br /> ` ❑ NON-FRIABLE <br /> FACILITY TICKET NUI LIBER' ASBESTOS <br /> ❑ WOOD <br /> §IGNATURE OR AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> f { �� f ` ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a 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 # �' Q),I- Z <br /> GENERATOR COPY <br />