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[_ '(&-FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> _-Z PR C O R P O R ATE D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. M330 <br /> Hydra ri , m J 1, REQU113ED PERSONPROTECTIVE EQUIPMENT , a ; <br />' 31hAILiNG ADD E5S r-�. ,�� � GLOVES ❑ AL GOGGLES E]RESPIRATOR ®HARD—HAT <br /> �' -_�M": �: <br /> CITY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES <br />' • PHONE �.,.,:��-A=.� �.�,.� _....._ ,,.;,r,.� ,., <br />' CONTACT ERSONTM � `- : "' <br /> Nil, <br /> SfGNATiiR OAU�'f-10RI AGENT%71TLE Y DATE ,- <br /> 1612— <br /> RECEIVING FACILITY <br />' ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • F] DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br />' ❑ STOCK PILE ❑ OTHER <br /> • MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY - (209) 982-4298 PHONE <br /> 3392 Navy I)rrve KTCCKTO?tii <br /> (209) 982- 1 009 FAX <br />' AMET ..✓' TRACTOR LIC # <br /> / _ TRUCK NUMBER MOL <br /> ADDRESS TRAILER LIC # <br /> CITY, STATE, ZIP i Z Ll - J <br /> LJ tTRAILE LIC # <br /> -PHOtSE' END DU BOTTOM DUMP TRANSFER <br /> SIGNATURE-OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ED ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no oblioation to accept the waste if weather or other wJ <br /> conditions impair the safe and effective disposal of the waste or if the waste C� <br /> impairs the sate and effective operation of the Landfill Forward shall use DISPOSAL METHOD - (70 BE COMPETED, ,FORWgRD) <br /> reasonable efforts to promptly notify Disposer of its inability to accept the y_ DISPOr E 'i 131 ��ERAT yf r OTHER <br /> waste for any reason If Forwards refusal to accept the waste is base 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 <br /> REMARKS ❑ SLUDGE <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET OMBER ASBESTOS <br /> E3 WOOD <br /> NATUR OF/�UT�OR ED AGENT DATE <br /> ' �' f 'r f/,� ❑ ASH <br /> ❑ OTHER <br /> CHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> UBJECT TO REFUSAL UPON!ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEF <br /> O SCHEDULE CALL (209) 982-4298 ORE <br /> FQ1(C9611NH)6 96 <br /> SALES COPY hAAnucFCT j* f` "7 -4 r- A ., <br />