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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TRE&MENT AND DISPOSAL FACILITY <br /> ' JOB ACCEPTANCE NO. L2 o 7 j <br /> GENERATOR _ ti __ REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ _ <br /> VES ❑ ❑RE <br /> GOGGLES SPIRATORA,J3,� HAT <br /> MAILI ADDRESS _ _ ' - ❑TY-VEK [-]OTHER <br /> CITY, STATE,ZIP - SPECIAL HANDLING PROCEDURES <br /> - ONE_ v _ <br /> • ��_ 9 S - 111-3 - - <br /> CONT CT RSC)W <br /> S ATURE OF -UTHORIZED A ErNT/ TITLE- DATE <br /> ---- �.. o y_ - <br /> WASTE TYPE - _ RECEIVING FACILITY <br /> ❑ SLUDGE <br /> • ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> •• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME _ { _ _ NOTES TRUCK NUMBER <br /> ADDRESS �- <br /> C� S A ZIP an /aZi! <br /> H NE - -T - ENE]DUMP BOTTOM DUMP TRANSFER -- <br /> S GNATU _ OF AUTHTF I_ZEE_ ANT OR DRIVER DATE ROLL-OFFS) FLAT-BED EjRUMS <br /> 7 <br />' FORWARD INC. LANDFILL CUBIC YARDS _— <br /> Forward shall have no obligation to accept the waste if weather or other �� L- `f��" <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 <br /> weather or other site conditions, Forward shall notify the Disposer when site ❑ SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste - - _- � Y -_ ❑ SLUDGE <br /> REMARKS <br /> • — ❑ NON-FRIABLE <br /> ASBESTOS <br />' FACILITY TICKET NUMS�ER_- -- _- <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT <br /> DAT4_ ❑ ASH <br /> �Y I !^ter' ', f'I `� I�; l ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a 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 GALL(209)982-4298 129906 <br /> MANIFEST # <br /> GENERATOR COPY <br />