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FORWARD. NON-HAZARDOUS WASTE MANIFEST <br /> ! N C O R P O RATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. -7( <br /> ,q — 6H <br /> G NERATOR REggWIPERSONAL PROTECTIVE EQUIPMENT <br /> c�h �rr.� gl fpti� �� QGLOVRED ES [-]GOGGLES ❑RESPIRATOR []HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> f e0`s SPECIAL HANDLING PROCEDURES <br /> CITY,STATE, ZIP <br /> PHONE <br /> CONTACT PERSON <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> .. * ibu Iv'(,, vio,PrloZ 79 <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ ZREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> AME NOTES TRUCK NUMBER <br /> ADDRESS f 7� <br /> • CITY, <br /> STATE, <br /> ZIP <br /> ra�� iCsL.P * `tA !4 31(7 <br /> PHONE' 5 END DUMP BOTTOM DUMP TRANSFER <br /> 7-0 ct - 5 79 - Z G-Z 1 ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> _ / —L� lV� <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 STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> weather or other site conditions, Forward shall notify the Disposer when si OIL - <br /> ' conditions are expected to change such that Forward will be able to a ept <br /> the waste ❑ SLUDGE <br /> ` REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET/NUMBER ASBESTOS <br /> { /r^ ❑ WOOD <br /> SIGNATURE �IJTHOF3#1 AGENT <br /> / . ❑ ASH <br /> 7�' ' " �� //� `�' ❑ 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 /> MANIFEST # C " -717 <br /> TRANSFCRTER COPY <br />