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- .� T0RWA "'_ � NON-HAZ DOUS WASTE MANIFEST <br /> _ INCORPORATED WASTE TREATMENT AND!7ISPOSAL FAC <br /> ILTY <br /> 1 <br /> ' JOB ACCEPTANCE N0. -- =- <br /> FGENERATOR r REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> rd f! [ , t�� 7 F-, uG ? ❑❑GLOVES OOGOGELES ❑RESPIRATOR ❑HARD FIAT <br /> ADDRESS TY-VEKP `� z SPECIAL HANDLING PROCEDURES' i <br /> i • i <br /> HONE <br /> dONTACT PERSON <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> i WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE FORWARD INC.�LANDFILL <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS <br /> • ❑ DISPOSAL SOIL ❑ wooD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> •• ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 16 Ic yr ST ' <br /> (209) 982- 1009 FAX i <br /> i NAME TRACTOR LIC.# � ,,l TRUCK NUMBER _ <br /> r ADDRESS C—/ ,;tit �O� —T �l TRAILER LIC.# �j C�uv 13 7LY 17,71 <br /> . CITY,STATE,ZIPc1 } TRAILER LIC.# <br /> i <br /> PHONE I G END DUMP BOTTOM DUMP TRANSFER <br /> .� ❑ ❑ i <br /> ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE <br /> F <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste f weather or other <br /> , <br /> conditions impair the safe and effective disposal of the waste or it the waste DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use M <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO 1 AERATE STOCKPILE OTHER . <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather eather or other site conditions,Forward shall notify the Disposer when site <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE F <br /> REMARKS ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER i <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH F <br /> }I I i ❑ OTHER <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 /> Foa(09511NHr6-96 SALES COPY MANIFEST # C -7.rl P., 7 I; I <br />