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" NON-HAZARDOUS WASTE MANIFEST t <br /> F �t FORWARDw" r �: t <br /> I N C O R P O R A T ,� D- WASTE TREATMENT AND DISPOSAL FACILITY <br /> r F <br /> JOB ACCEPTANCE NO. <br /> -� 'rt'v ` w .i„ REQUIRED PERSONAL P�OTECTIVi=EQUIPMEI�_.,�____ .--•-- <br /> ERATOR g]GLOVES ❑GOGGLES ❑RESPiRATOR ®HARD HAT <br />' Wd Borwaill P"Mk= Y�- ❑TY VEK ❑OTHER <br /> MAILING ADDRESS z <br /> 32 est SPECIAL HANDLING PROCEDURES <br /> Z11 <br />' Cp PERSON -- - <br /> S RE _I O_ D AGENT /TITLE .� R DATE= _ <br /> RECEIVING FACILITY _ ____ <br /> __�.... _ ___�.._._.�.. <br />' - ❑ SLUDGE FORWARD INC LANDFILL <br /> ' ❑ TREATMENT SOIL ❑ HON-FRIABLE ASBESTOS 9 <br /> DISPOSAL SOIL E] WOOD 999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br />' GENERATING FACILITY _ _ __ <br /> (209) 982-4298 PHONE , <br /> 444 Mosadak k0fid LAXEMOP (209) 982- 1009 FAX- <br /> J <br /> r TRACTOR UC # _ TRUCK NUMBER <br /> NAME v 1� '-�i��' � 3 �iXJ60 <br /> V r r TRAILER LIC # <br /> • CIN, TE,-ZIP <br /> f r TRAILER LIC # <br /> EN D MP BOTTOM DUMP _ TRANSFER <br /> _ _ FL --Ekd VAN DRUMS <br /> Sikr* E OF AUT ORIZED AGENT OR DRIVER - DATE ROLL (S) _ ❑ ❑ <br /> r <br /> CUBIC YARDS <br />' FORWARD INC. LANDFILL <br /> F rward s all have no obligation to accept the waste if weather or other DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> oonditioAs impar the safe and effective disposal of the waste or it the waste <br />' impairs/the s2 and effective operation of the Landfill Forward shall use DISPOSE Bio AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> w3Lste'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 site <br /> ' conditions are expected to change such that Forward will be able to accept ❑ SLUDGE <br />' the waste -� <br /> REMARKS _ _ _ NON-FRIABLE <br /> " ❑ ASBESTOS <br />' FACILITY TICKET NUMBER _ _ ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE - ❑ ASH <br /> ❑ OTHER <br /> l <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 UPONA#RIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209)S82-4298SALES COPY MANIFEST # C '] O '2 <br /> F01(C9511NH)6 96 f <br />