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z- <br /> FORWARD ` , , j, NON-HAZARDOUS WASTE MANIFEST <br /> R PORATED <br /> INCO WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. <br /> REQUIREDEERSONAFj ECTIVE EOUIPMENT <br /> Md Ha ides P ` g]GLOVES [:]GOGGLES 0 RESPIRATOR µ®HARD HAT <br /> At}DR�SS f ❑TY VEK ❑OTHER <br /> 321 Wept Pmt sued <br /> Gam,STA ZIP 1 SPECIAL HANDLING PROCEDURES <br /> • lokCA952r43 <br />' - <br /> PHONE <br /> ` <br /> (209)i;972-011 <br /> CONTACT PERSON <br /> RE&8oe�es r <br /> SIGNATURE iDF AUTHORIZE©AGENT/ TITL E�_ — DATE <br /> iWASTE TY.PE _ - _ _ - -- RECEIVING FACILITY _. _-__-__—. .- ____ — <br /> ❑ SLUDGE <br />' ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> FLI• j ASH 9999 SOUTH AUSTIN ROAD DISPOSAL SOIL E]❑ CONSTRUCTION SOIL ASH <br />' ❑ STOCK PILE ❑ OTHER MANTECA, CALIPbRNIA 95336 <br /> GENERATING FACILITY _ _ (209) 982-4298 PHONE <br />' '"M°a I&TIMOP (209) 982- 1009 FAX <br />' NAME 1 1. �y �" 1` _T�/J[ y TRACTOR LIC # � TRUCK NUMBER <br /> { I - <br /> A�QRESS JNots.� - ` TRAILER LIC # f J f -79 <br /> • C1TY, STATE,ZIP t/`5 �� TRAILER LIC # y'�/ <br /> PHONE _ �j{I[III? _ q= �jy� END UMP _ BOTTOM DUMP- TRANSFER <br /> - - - ---- � ❑ ❑- .... <br /> SIGNA- TURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL- FF(S) FLAT-BED VAN DRUMS <br /> El _ ❑ ❑ _ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS 1_ <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 IL <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 _ ❑ SLUDGE <br /> � REMARKS <br /> �., NON-FRIABLE <br /> - ❑ ASBESTOS <br /> FACILITY TI ET NUM R - <br /> - _ � _ - - El WOOD <br /> - w <br /> SIGN, RE OFU n RIZ_ED AGE_NT DATE ; <br /> ❑ ASH <br /> OTHER <br /> SCHEDULING IWUST 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 /> F01(C9511NH)6-96 SALES COPY MANIFEST # C 720230 <br />