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'RA2ARb 6S'.WASTE MANIFESTFORWARD NON <br /> � <br /> "INC O R p O R A T,wE D WASTE TREATMENT N© DISPOSAL FACILIITY j <br /> JOB,A C_ EPTANC �O.- <br /> -A <br /> s r <br /> gQUI ENT` <br /> ❑GLOVES [:]GOGGLES ❑RESPIRATOR []HARD HAT <br /> DR ❑TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> • _ L <br /> CT PER <br /> SIGMA, E OF UTHORIZED AGENT TITLE_ _ TEr ` <br /> 7k / <br /> w ,WASTE TYPE RECENING FACILITY <br /> - I <br /> ❑ SLUDGE � <br /> FORWARD INC. LANDFILL <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS ` <br /> • ❑ DISPOSAL SOIL ❑ WOOD , 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br /> OTHER ` r <br /> MANTECA, CALIFORNIA 95336 <br /> I <br /> GENERATING FACILITY, _ _ � _ . ____ (209) 982-4298 PHONE' - <br /> (209) <br /> HONE' -(209) 982- 1009 FAX <br /> _ -4 <br /> 011MAME L NOTES ll TRUCK NUMBER <br /> ADDRESS - _ _ _ ,_ _ _-- - - r 1 ' <br /> . CITY,STATE_ZIP <br /> r <br /> — E UMP 1 " BOTTOM DUMP° TRANSFER <br /> PHONE, _ � - _ �___. f_❑= M ❑ - <br /> SIGN, , RE O�AU x ORIZED AGENT OR DRIVER DATES RO -OAF S) _ rFLAT BED VAN DRUMSwT <br /> � � ❑ ❑ ❑ ❑ <br /> FO)RWARD INC. LANDFILL <br /> Forward slxalE have no obligation to accept the wade if weather or other <br /> conditions impatrr 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 ISPOSE 810 ,BERATE STOCKPILE 4 OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ - - - - - -- <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 - -' NON-FRIABLE i <br /> E] ASBESTOS <br /> FACIA TJCKET NUMBER � ___��_�, <br /> ❑ WOOD <br /> IGNATURE OF AUTHORIZED AGENT <br /> ASH <br /> �, _Vf OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO,4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • AN <br />' SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WI <br /> TO SCHEDULE CALL (209)982-4298 f <br /> t <br /> SALES Vim`■ 5��Ic <br />