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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> �b INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. - 'o I i <br /> GENERATOR t *- REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> C / <br /> /- j °=' ° r �� L f' ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING; ADDRESS _ ❑TY-VEK ❑OTHER <br /> SPECIAL HAN DLINA PROCEDURES -' <br /> CITY, STATE ZIP � <br /> q C_ <br /> • PHONEf I �y7 / � _ G=,r�ff� <br /> CONTACT PERSON <br /> SIGNATUR F AUTHORIZED AGENT / TITLE DATE <br /> WASTE TYPE 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 /> (209) 982- 1009 FAX <br /> 57 <br /> NAME4 NOTES TRUCK NUMBER <br /> ADDRESS C �� <br /> .. CITY,STATE, ZIP 1 i <br /> PHONE (", _- CSG L� END DUMP BOTTOM DUMP TRANSFER <br /> . <br /> SIG NATURE�,OF AUTHOR I4ED'AGENT OR g IR VER DATA ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ti ❑ El ❑ ❑ <br /> FORWA-RDINC. LAiVbFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impacr 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 <br /> • REMARKS <br /> ` ° ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER `, :- l PASgESTOS <br /> [] WOOD - <br /> - SIGNATURE-bF AUTHORIZED AGENT DATE f <br /> ❑ ASH <br /> ❑ 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 # <br />