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FORWARD <br /> NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. <br /> GEN FT?R/ / REQUIRED PERSONAL PROTECTIVE EQUIPMENT❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAI <br /> LING ADDhES ❑TY-VEK ❑OTHER , <br /> CITYXTATE,Zl SPECIAL HANDLING PROCEDURES <br /> • PHONF G�G 3 <br /> n � <br /> C&TAtOT PERSON /r 3 <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> �► a1 <br /> r�< <br /> ' WASTE TYPE <br /> RECEIVING FACILITY;, , ; ; <br /> ❑ SLUDGE <br /> t ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LAWILL <br /> ' ISPOSAL SOIL " <br /> ❑ CONSTRUCTION SOIL p WOOD <br /> 9999 SOUTH AUSTIN ROAD <br /> ' ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PH6NE <br /> ' (209) 982- 1009 FAX" <br /> NAM /A - <br /> ,; <br /> � NOTES ," �y v ,r�,� `c�;,sfi ,'�,.a '"`�R�1CIF;N�JfUIBE�� '• <br /> ADE Sl/�'/� <br /> • CITY ATE,ZI <br /> ' PHONE'_ �w - �� f -`" ' . = a ` " = ,END DUMP,,- u <br /> ;�7 3 f y, K, yT ;' �,130TtOM DUMP�=�a"f ,r`�tA�ISF�Fi <br /> .J fit" A"a��s��..J-co.. s. <br /> D <br /> SIGNATURE OFAUTHORIZEb AGENT OR DRIVER DATE MOLL-OFI` S)'' r ,FLS,-RCigN`�h E BUi�s <br /> El 11 <br /> FORWARD INC.IANDFILL CUBIC YARD <br /> Forward shall have no obligation to accept the waste of weather or other <br /> conditions impair the safe and effective disposal of the waste or of the waste , <br /> impairs the safe and effective operation of the Landfill Forward sha11 use DISPOSAL METHOD '1 i (TO BrCOMPLETED B ,ORWARD)` <br /> ii reasonable efforts to promptly notify Disposer of its inability to accept the sir^ >� af� DISPOSE `� f t ` <br /> ' Y Y t , , � tg, I wle §T CfCF'tL1: E <br /> waste for any reason If Forwards refusal to accept the waste Is based an <br /> R weather or other site conditions Forward shall notify the Disposer when set OIL <br /> conditions are expected to change such that Forward will be able to accept <br /> s the wasteN ElSLUDGE <br /> htMARKS — w <br /> ' ❑ NON-FRIABLE <br /> FACILITY TiCKI`1 NU�vIpER 7�' �^ �'- ,: r x ASBESTOS <br /> ��a s_ <br /> - ❑ WOOD � <br /> SIGNAT0141 Q AUiHdRIZED GENT <br /> J� ❑ ASH <br /> ❑ OTHER <br /> NEW <br /> SCHEDULING MUST BE MADE PRIOR 10 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULEP LOADS ARE <br /> SUBJECT TO REf USAL UPON Ann vAt ONGOING DAILY DELIVERIES MUSF RE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209) 982-4298 MANI�FF,$T,3 6 5 5 5 <br /> GENERATOR COPY pt-f°r—i�f� � ��,, � <br />