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FORWARD x: NON-HAZARDOUS WASTE MANIFEST <br /> I N O RATED =5 ' WASTE,TREATMENT ANDMISPOSAL FACILITY i <br /> _t C RPO <br /> �7 JOB ACCEPTANCE N0. <br /> ENERATO ` '' ` '�"` °� ` REQUIR_�D,ERSONAL ROTI CTIVE EQUIPM_ENT _'`' <br /> )!�g pCftpM K]GLOVES ❑GOGGLES []RESPIRATOR ®HARD HAT <br /> MAILING 7 ❑TY-VEK ❑OTHER <br /> 321 Wept pine fted <br /> ?CITY,STATE, ZIP' _ '�- SPECIAL HANDLING PROCEDURES <br /> - P-HONE <br /> (�)943-2011 <br /> F?C ]ACT'PER50_ <br /> NickBoades <br /> tIGNATURFQF AUTHORIZED AGENT J TITLE DATE _ <br /> • WASTE TYPE + _ _ _ RECEIVING FACILITY _.. _ <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 /> GENERATING FACILITY _ M_ _ _ (209) 982-4298 PHONE <br />' 444 Mownk Rood I.A1"HROP (2 0 9) 982- 1009 FAX <br /> ME ,� 17!z j)Or 5 f jq t 0A 0 `L TRACTOR LIC # �_ t C9 ZO _ TRUCK NUMBER <br /> ADDRESS -�- - TRAILER LIC_# I V 05 7 q <br /> CITY,STATE, ZIP TRAILER LIG # <br /> PHONE 2 �5�``229 D _ END DU P BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTH-11 ORI D AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN _ DRUMS <br /> El El 1:1 <br /> ILS 9' <br />' FORWARD INC. LANDFILL cuslc YA Ds T <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 DISPOS 10 AERATE STOCKPILE OTHER <br /> waste 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 f '3flIL- <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 TO�KE7 NUMBER <br /> _ ❑ WOOD <br /> IGIy93Tt7RE-- F AU ORIZEQ AGENT DATE <br /> ASH <br />' &I 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(C9511NHI6 96 SALES COPY MANIFEST # C 720215 <br />