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NON-HAZARDOUS WASTE MANIFEST <br /> FORWARD <br /> I NCO R P O R A T E D WASTE TREATMENT ANDaDISPOSAL FACILITY <br /> =_ f JOB ACCEPTANCE N0. QO•� <br /> r <br /> REQUIREDPERSONAL,PROTECTIVE E�QUIPMEbff <br /> MCI Bailin P*9kVWI &]GLOVES []GOGGLES [:]RESPIRATOR ®HARD HAT IU G ADDRESS , y ❑TY VEK ❑OTHER <br /> 321 Wed MW fted <br /> ITY,"SQA "`ZIP; +' SPECIAL HANDLING PROCEDURES <br /> fp4CA5152AS <br /> SONE <br /> (209)943-2011 <br /> fi.OMAGT PERSON --_--�� <br /> Wick Bmides- w `'r <br /> §�kEj UTHORI -P�j NT Y TITLE' <br />' • WASTE TYPE RECEIVING FACIUTY <br /> I ❑ 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 /> GENERATINGFACIIJTY _ _ (209) 982-4298 PHONE <br /> 4+Moada Road (209) 982- 1009 FAX <br />' - AME u _ _'�` �;i I'? _ _ TRACTOR LIC 7 TRUCK NUMBER <br /> ADDRESS. - - _ -- -A TRAILER LIC # 1 '`l <br /> . CETY, STATE,ZIP �P�` I <br /> 6;7 TRAILER LIC # <br /> PHONE ''- EN UMP BOTTOM DUMP TRANSFER <br /> X El <br /> _ <br /> SIGNATURE QF ATHRIZED EN <br /> UOAGT OR RIVER DDATE ROLL-OFFS) FLAT-BED VAN DRUMS- <br />' - - - _fr _ _ ❑ E] ❑ El- <br /> 7�CEz/V <br />' FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> r � <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 DISPO E BIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> 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 />' FACIUTYTICKET NUMBER Y <br /> -_ _- _ . . _ - [:] WOOD <br /> �IGNATURE OF AUTHORIZED­A6ENT DATE <br /> ❑ ASH <br /> ❑ OTHER <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 UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209)982-4298 <br /> F01(C951 INH)6 96 SALES COPY MANIFEST # C 720213 <br />