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FORWARDNON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> �.•� <br /> JOB ACCEPTANCE N0. 57I1 ��_� : -`rte <br /> ENERATOR REOUIRED PERSONAL PROTECTIVE EOUIPMENT <br /> rezvkt= ®GLOVES ❑GOGGLES ❑RESPIRATOR [HARD HAT <br /> MAILING ADDRESS ❑TY--VEK ❑OTHER <br /> 7:91 A?>+w A:IVC <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES <br /> • Swd=r,CA9!2r06 <br /> PHONE <br /> CONTACT PERSON <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • Q DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ' ❑ 87OCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 938 k,4cStZ.,21.d NAT,^TCA (209) 982 . 1009 FAX <br /> ME TRACTOR LIC # ,{ TRUCK NUMBER <br /> ADDRESS S TRAILER LIC <br /> Poli 051ce Doc 519 ��J`��r/r 3 <br /> CITY, STATE,ZIP TRAILER LIC # <br /> PHONE EN4 DU BOTTOM DUMP TRANSFER <br /> i 3S)634-0314 E] ❑ <br /> SIGNATURE OFUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> c• <br /> r r <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste If weather or other t <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 pro-rlptly notify D=spcser 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 /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER r _ s _1 <br /> - " ❑ WOOD <br /> GN U OF AUTHORIZED r G NT DATE <br /> ❑ ASH <br /> t * � ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M. THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> �BJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST HE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SCHEDULE CALL(209)982-4298 L+ p C O <br /> of IC951INHI6 96 GENERATOR COPY MANIFEST # C D O C7 0 <br />