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".TORWARD ' <br /> �.' =_mss NON—HAZARDOUS WASTE MANIFEST.. <br />' TE TREATMENT AND4DISPOSAL FACILITY <br /> 4► INCORPORATED F WASTE <br /> Nt­ <br /> JOB ACCEPTANCE N0. <br /> ERATO _ ^ r Y' REQUIRED.PERSONAL'3PR0I1CTIVE_EQU I,PMEN�` <br /> Md Bmift Fobvicon E]GLOVES [-]GOGGLES ❑RESPIRATOR ®HARD HAT <br />' MA°I � DRE��S�S x= []TY VEK ❑OTHER <br /> CITY.STATE,QIP' SPECIAL HANDLING PROCEDURES <br /> • <br /> PHONE <br />' Z-O A-TPERSON <br /> SIG TU -OF A THORIZED AGENT/TITLE <br /> 116 ) Y - <br />' ftASTEfTYPE_ v - _ _ RECEIVING FACILITY <br />' ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • F&I DISPOSAL SOIL ❑ wooq_ 9999 SOUTH AUSTIN ROAD <br />' ❑ CONSTRUCTION SOIL ❑ ASH - <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ _ (209) ,q82-4298 PHONE <br /> Moo" L&TMoF (209) 982- 1009 FAX <br /> _---- -- - _ - t - - TRACTOR-LIC <br /> )76 <br /> TV <br /> ADORES:3r c I TRAILER LIC # ��► <br /> CITY,STATE,ZIP - _ TRAILER LIC # <br /> PHON r1 - EN D)JM BOTTOM DUMP TRANSFER <br /> 300 <br /> SIGNAT- E OF_AiJTH0 ZED GENT OR DRIVER^ DATE ROLL-O F(S) FLAT-BED VAN _DR_UMS <br /> 70 ❑ ❑ ❑ ❑ <br /> r <br /> FORWARD INC. LANDFILL cualcxA ` <br /> Forward shall have no obligation to accept the waste if weather or other <br /> I 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 BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of Its Inability to accept the waste for any reason If.Forwards refusal to accept the waste Is based on r7T, <br /> weather or other site conditions,Forward shall notify the Disposer when site E:1 SOIL <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❑ ASBESTOS <br /> FACILITY TICKET N ER <br /> ❑ WOOD <br /> 1GNRE1OF U H RI GENT _ SATE <br /> I� ry ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MU BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br />' SUBJECT TO REFTSSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CA L {209)982-4298 <br /> i F01(C8511N1 5 96 _,_.� SALES COPY MANIFEST # C <br /> 720214 <br />