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FORWARD __, 1 ` �. NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED 'S r r r� WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE IVO, SS4DlD,_ <br /> 1 ENERATOR_'- _ REQUIRED PERSON _PRO's ECTNE EQUIPME - .. ` . <br /> 1 Bwkkz Pevok= —� K]GLOVES [:]GOGGLES [:]RESPIRATOR HARD HAT <br /> MAILING ADDRESS__ s "j ❑TY VEK ❑OTHER <br /> 3 1 kP e i <br /> CI .,STATE,ZIP -' x-� _ SPECIAL HANDLING PROCEDURES <br /> • PHONE <br /> (209}943-2011 <br /> CONTACT PE SON <br /> N k Bowen �` <br /> SIGRFTORI DATE <br /> - RE <br /> . gcck 1 <br /> • WAS TYPE _ _ _ - _ _ -_ -- - _- RECEIVING_FACIUTY <br />' ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br />' ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br />' 4aa�d� a LA�0P (209) 982- 1009 FAX <br />' NAME - TRACTOR LIC # G9& TtUGK NUMBER <br /> ADDRESS TRAILER LIC # �a 7q <br /> CITY STATE, ZIP - TRAILER UC # <br /> PHONE_ "' �»'' � � END D P BOTTOM DUMP TRANSFER" <br /> r ❑ __ 1:1S! URE OF AUb� O D AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ti 1 <br /> FOkWARD INC. LANDFILL CUBIC YARDS, - - <br /> t Forward shall have no obligation to accept the waste if weather or other C) <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 DISPOSE 810 AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> f <br /> weather or other site conditions,Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste _ w M ❑ SLUDGE <br /> • REMARKS <br /> NON-FRlA6LE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER __ <br /> ❑ WOOD <br /> IGNATURE OF AUTHORIZED AGENT DATE <br /> _ _ _ -_ _ - ❑ ASH <br /> /'^ <br /> ❑ OTHER <br /> f � � <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULE <br />' SUBJECT TO REFUSAL UPON AR 1VAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THIN <br /> TO SCHEDULE CALL(209)982288 MANIFEST # <br /> FO (C951 INH)6 96 ! SALES COPY <br />