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+� FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. �$ - g <br /> GENIFRATpR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ❑GLOVES F1 GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> ,MAILING ADDR SS`' ❑TY-VEK ❑OTHER <br /> ;CITY,STATE, Zip_, SPECIAL HANDLING PROCEDURES: <br /> s <br /> 0 - <br /> PHO <br /> CO ACTRSON <br /> ,SIG A RE OF AUTHORIZED AGENT/ TITLE DATE <br /> .WASTE E t RECEIVING FACILITY <br /> ` f <br /> ❑ TREATMENT SOIL DSLUDGE� <br /> y; "DISPOSAL SOIL -0NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> x <br /> (209) 982- 1009 FAX <br /> . <br /> `NAME .-NOTES: TRUCK NUMBER <br /> ADDRE <br /> L;-A ] <br /> CITY,STATE, ZIP <br /> PHO _ EN UMP BO OM DUMP TRANSFER <br /> E] <br /> ❑ ❑ <br /> SIGN URE F AUTHOR OR DRIVER W DATE ROLL-OFF(S FLAT BED <br /> } VAN <br /> ❑ D S <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or otherZLL}^f r <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 DI SALMETH (TO BE COMPLETED BY FORWARD) <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 - r. <br /> ❑ NON-FRIABLE <br /> ILITY TICKET NUMBER 1 ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE--OF AUTHORIZED AGENT' DATE <br /> - ❑ ASH <br /> ❑ OTHER <br /> SCffEDULINGL W=IiiiIIiiiiiiiIlm <br /> .MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJEcr-T REFbSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />_'rn srxFat�i es_e_i rano► aQa_naca. :'' _ . <br />