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i <br /> FORWARD NON-HAZARDOUS WASTE MANIFEST <br />' V► INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> y t <br /> JOB ACCEPTANCE NO. <br /> I <br /> xr �:;� _R_E IRED ERSONAL PROTECTNE EQUIPM ENTn <br /> .GLOVES[:]GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> AIIA3L1�1G ADDFiE Ste' r =s ,., � ❑TY-VEK (]OTHER <br /> S <br /> T - � SPECIAL HANDLING PROCEDURES <br /> or <br /> CITY,STA <br /> • <br /> -WI6 ' <br /> DNE �,� r �-� ' nom- �� ` <br /> L��q���77' <br /> r ,.r-s. A� ir <br /> OIVTA13T�PERSDN : v <br /> _. _ �v � <br /> SIGNATURE OF�AUTHORIZED AGED i W_rLff = DATE=j <br /> WASTEE= _ i t RECENING FACILI3Y <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • +DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> •• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (z (209) 982- 1009 FAX <br /> r <br /> c- �� �. NOTES (,[i �7 � RUCK NUMBER <br />[IGNATURE <br /> DDRESS <br /> ITY, STATE, ZIPVt jxt -j 1A �,,. 1HONE � }����. « END,DUMP BOTTOM DUMP TRANSFER <br /> 4," . D F AUTHORIZED AGENT OR DRIVER� DATE ROLL-OFF(S) FL4T-BED, VAN DRUMS <br /> r El El1 <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other __J <br /> conditions impair the sate 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 BID 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 acceptr <br /> the waste - ❑ SLUDGE <br /> • REMARKS��..._ _ _.._� __ _.,,;� . M �.. --- - - _ <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> ❑ WOOD <br /> M GNAJf {3THORIZED AGLNNT _ DATE� E] ASH <br /> [:] OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 QO P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT <br /> O REFUSAL <br /> CALL{2 PON 982-4298 UPON <br /> ONGOING DAILY DELIVERIES MIDST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> MANIFEST # 57838 <br />