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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> IWCORPORArED WASTE TREATMENT AND DISPOSAL FACILITY <br /> L <br /> JOB ACCEPTANCE N0. <br /> EN TOf3'' Yea' `"R 3;- �' REQUIRED PERSONALROTECTNE EQUIPMEIVTy: _ <br /> 2� --- <br /> BerW=P _ GLOVES []GOGGLES ❑RESPIRATOR ®HARD HAT <br /> MAILIN 'Al3DESS r �� �x�;;, ._ + `fi=-_ =_ ❑TY-VE ❑OTHER <br /> 2T V�eat <br /> SPECIAL HANDLING PROCEDURES <br /> 1atC�932A5 <br /> 'HON <br /> (209)943-2411 - <br /> CONTACT,PERSONc'� <br /> Nim Hasisies <br /> SIGNATURE OF'AUTHORIZED AGENT� ITLE DATEp ? ` <br /> •• * f r- � _ RECEIVING FACILITY- - - - <br /> WASTE TYPE _ <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • R] DISPOSAL SOIL p WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENEFATINGFACILITY _ w (209) 982-4298 PHONE <br /> 2191Navy Drive STtYCKTON (209) 982- 1009 FAX <br /> AME i A- Ur--C), TRACTOR UC # i� TRUCK NUMBER <br /> ADDRESS Z� j �SIL TRAILER LIC # <br /> _ X � f <br /> • CITY,STATE,ZIP TRAILER LIG# 1 <br /> PHONE_ 4C� ATEND DAMP BOTTOM DUMP TRANSFER <br /> SIGNATURE57UTHORIZED AGENT OR DRIVER DE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> i (,'�1 t , ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuBlc YARDS <br /> 1 <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 /> impairs the safe and effective operation of the Landfill forward shall use ­'— <br /> reasonable efforts to promptly notify Disposer of its rnabdcty 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 ❑ SLUDGE <br /> a <br /> REMARKS <br /> ' NON-FRIABLE <br /> / ASBESTOS <br /> FACILITY TICKE 'NUMBE <br /> ❑ WOOD <br /> GNATURE QF AU%TN IZE A NTFJ/ <br /> � <br /> I ❑ 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 /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209)982-4298 <br /> F07(G>357 INH)6 86 SALES COPY MANIFEST # C 715009 <br />