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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> r JOB ACCEPTANCE NO. cf0_ — <br /> GENERATOR _ _ E ECgUIRED PERSONAL.PROTECTIVE EQUIPMENT _ __ <br /> _ - - _W i_Q_% P f s e s — — OYES ❑RESPIRATOR 6�4RD HAT <br /> MAILING ADDRESq__ — -- -- ❑GOGGLES <br /> .�._.�_�___ _ � ❑TY-VEK [-]OTHER <br /> CITY,STATE,ZIP — SPECIAL HANDLING PROCEDURES <br /> ZK -IS <br /> TAC PERSON _ _-- - --— -- <br /> SIGNATUR OF AU_ORIZED_AGEN4 T TLE DATE_ _ <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL ❑ ASH ASH <br /> ' ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY — ____ (209) 982-4298 PHONE <br /> 4 (209) 982- 1009 FAX <br /> NAME_ _ __ _ NOTES _ _ TRUCK NUMBER <br /> AM <br /> ADDRESS <br /> . • ���� _C.c�rt_er . �a� tr�_. Svc�� _$ --- '���v � ��it��CA� "�✓ <br /> • CITY,STA , ZIP <br /> ARC. 5 ,, X5.3 <br /> PHONE _ _ END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZ&-GENT OR DRIVER DATE ROLL-OFF(§) FL_AT BED VAN RUMS_ <br /> El <br /> 072-561 0 <br />' FORWARD INC. LANDFILL CUBIC YARDS <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 /> reasonable <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_ 810 I 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 - -- ❑ SLUDGE <br /> • REMARKS <br /> " T ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TfCKETNUMBER <br /> —� -- � _ ❑ WOOD <br /> - SIGNATURE OF AUTHORfZED AGENTDATE .* <br /> E] ASH <br /> J <br /> 4, [:IOTHER <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 MANIFEST# 129904 <br /> GENERATOR COPY <br />