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,f * F1�RARD <br /> NON-HAZARDOUS WASTE MANIFEST <br /> J N C O R POR A T E W WASTE TREATMENT AND DISPOSAL FACILITY <br /> C LITY <br /> J06 ACCEPTANCE N0. 1$ 3 Q� F <br /> Sarit� �-�-+ '�.-..�:=� sr w� REQUIRED PERSONAL PROTECTlvE EQUiPMENT-�,�`'�.�:-� <br /> }GLOVES []GOGGLES ❑FtES�1RATOR ®HARD HAT <br />' MAILING ADD ESS '� ��'�� ��z��:.� �s��ti ❑�-Y-VE K ❑OTH E R <br /> COT�TAC�PERSON:c- �"' � s�� •;�`..��"_�,""� .._ "�',�."�-` <br /> LTL RE aF AU i-IORIZED AGENT/T1TLE �' DATE' '� <br /> dd <br /> 1NASTE TYPE i " �= �y "- RECEIVING FACILITY s " <br />' ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> KI 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 /> 219iNavy rxr,�e 209 9 - <br /> ( ) 82 1009 FAX <br /> TRACTOR CTC" _—�- _ - — <br /> �✓ �� ,r > ,I ,, TRUCK NUMBER -- <br /> ADDRESS `- �l Vr�1--' <br /> sr TRAILER LIC #�v <br /> • CO,STATE, ZIPS, <br /> TRAILER LIC # <br /> _ /��,I,-� ENDfXMP BOTTOM DUMP TRANSFER <br /> SIGNATURE <br /> 0/ <br /> Al�7HORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED❑ VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation 10 accept the wasle if weather or other / 'J <br /> coedit?ons impair the safe and effective disposal of the waste or if the waste r <br /> impairs the safe and effective operation of the Landfill Forward shalluse DISPOS METHOD (TO BE COMPLETED BY FORWARD) <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 <br /> REMARKS ❑ SLUDGE <br /> ❑ <br /> NON-FRIABLE <br /> FACILITY TICKET UMBER ASBESTOS <br /> ❑ WOOD <br /> NATUR F AU R D NT DATE <br /> �F ❑ ASH <br /> r / `� ❑ 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 BEFORE <br /> O SCHEDULE CALL (209) 982-4298 <br /> D1(C951 INH}6 P6 <br /> SALES COPY MANIFEST # C 7 1 r-,1 P1 A <br />