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NON-HAZARDOUS WASTE MANIFEST <br /> �- <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> (trFORWARD <br /> INCORPORATED <br /> JOB ACCEPTANCE N0. �� =t k• <br /> AEQgIRED PERSONAL PROTE_CT1VE__ EQUMgNT"- =-' <br /> g ®GLOVES [:]GOGGLES []RESPIRATOR ®HARD HAT <br /> BOOM MAi dXVICUM DRESS _ ❑TY-VEK []OTHER <br /> S21 Weat Poe SUed SPECIAL HANDLING PROCEDURES <br /> CITYi°STA ZIP - --- <br /> fo�,CA9��45 <br />' lifi&Backer _ _ _ - — <br /> DATE <br /> SIGNATURE F AliT3�ORIZED AGENT / TITLE _ _ <br /> i <br />' '■ � _ �� ? __ _ _ _ _ _ _ _ RECEIVING FACILITY _�___ _ _ _� <br /> WASTE TYPE <br /> ❑ SLUDGE FORWARD INC LANDFILL <br /> [3 TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS <br /> • J] DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ■ ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERAT4NG FACILITY _ (209) 982-4298 PHONE <br /> "4 Mosadak Road L&THROP (209) 982- 1009 FAX <br /> TRACTOR UC # _ TRUCK NU--- <br /> — - � TRAILER LIC # <br /> ADDRESS ? - <br /> F -�t TRAILER LIC -- <br /> . CITY,STATE,ZIP _ _ _ <br /> E D MP BOTTOM DUMP _ __ TRANSFER <br /> 15 ❑ ❑ <br /> r� _ _ <br /> • SIGNA_ RE OF UiHORIZED AGENT OR DRIVER DATE <br /> ROLL (S) FLAT-❑BED VAN <br /> DRUMS <br /> * <br /> t <br /> F RWARD INC. LANDFILL CUBIC YA DS <br /> I > <br /> Forward lrhallthe <br /> have no obligation to accept the waste rf weather or other DISPOSAL ETHOD (TO BE COMPLETED BY FORWARD) <br /> conditions imp Er the safe and effective disposal of the waste or d the waste <br /> impairs the sdfe 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 /> waste for any reason If Forwards refusal to accept the waste is based on E] 501E <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 /> • REMARi�S w_ ~ NON-FRIABLE <br /> ■ ❑ ASBESTOS <br /> _EAZAJTY <br /> _TICKETINUMBER ❑ WOOD <br />' NATURE& AbTH IZ AGENT DATE <br /> SCHEDULINal MUST B MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXMCTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO'REFUS UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br />' TO SCHEDULI€C (209)982-4298 MANIFEST # C720229 <br /> FOI(CW INHI8 96 <br /> SALES COPY <br />