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U*# FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> ! N C O R P O R AST E D _ WASTE TREATMENT AND DISPOSAL FACILITY <br /> ��• - - JOB ACCEPTANCE N0. <br />' ENERATO "'" � 2t - *fir Y:m s`_ REQULREDPERSONAL PRQTECTIVE EQUIPMENT�'��4 3 =, <br /> pdMkM GLOVES [:]GOGGLES ❑RESPIRATOR ®HARD HAT <br /> ' N DDRESS ,'s� ' �, ;¢_� �� � ' TY-VEK OTHER <br /> &AF SPECIAL HANDLING PROCEDURES <br /> • <br /> PRONE. _ ." -� �._..,-.-_----.�....._._,... <br /> SIGt�IATURE OF�AU�iORIZED AGENT�d TITLE��,,_ , DATEr_�,.�e�h�;; <br /> WASTE TY _ w 7 RECE-NIN_G_ FACILITY- <br /> _ _ _ _ _ •. - - <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY - _ (209) 982-4298 PHONE <br /> 21!;1NgvyDme ST0C&*MWr (209) 982- 1009 FAX <br /> FIVIE TRACTOR LIC # TRUCK NUMBER <br /> ADDRESS - f <br /> TRAILER LIC # 3$� <br /> * CITY,STATE, ZIP /' TRAILER UC # <br /> J1C� dyJ0 Cp �� � <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> �C <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste it weather or other <br /> Z, <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 SOIL <br /> weather or other site conditions Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> ❑ SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TI(�4ET NUMBER <br /> ' /r ❑ WOOD <br /> IGNAT E'OF dTH IZED AG TATE <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING 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 BEFORE <br /> O SCHEDULE CALL (209) 982-4298 <br /> 1(G9511NH)6 96 SALES COPY MANIFEST # C 7 'I 5 0 0 A <br />