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F- +� FORWA� NON-HAZA US WASTE MANIFEST <br /> WASTE TREAT MT AND DISPOSAL FACILITY <br /> ^ IMC0RP0RA7ED <br /> f; <br /> JOB ACCEPTANCE NO. 768911 <br /> ERATOR _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> O ,ice 0D ®GLOVES []GOGGLES ❑RESPIRATOR HARD HAT <br /> ' MAILING ADDRESS ❑TY-VEK []OTHER <br /> 260 116--WeCwt SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> • Sarth S»I<rnxi_% ,CA,94030 <br /> ' PHONE <br /> (209)467-1006 <br /> CONTACT PERSON <br /> Bill Lttje <br /> SIGNATURES QF AUTHORIZED AGENT /TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL : <br /> • DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME TRACTOR LIC.# /�.r r r TRUCK NUMBER <br /> ADDRESS TRAILER LIC. # <br /> CITY, STATE,ZIP TRAILER LIC.# <br /> PH{{ONEi ?' ENI DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE QF APTHORIZED AGENT OR DRIVER DATE ROLL_OFF(S) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL cuBlc YARDS fr' <br /> a <br /> Forward shall have no obligation to accept She 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 DISPOSE BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ <br /> waste for any reason. If Forward's 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. ❑ SLUDGE <br /> REMARKS - <br /> • NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKETNUMBER : ' _ <br /> ❑ WOOD <br /> SIGNATURFf10F AUTHORIZED AgENT.:� DATE. <br /> i t'3 ❑ ASH <br /> I k ` � �' j ` ❑ 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 /> Fol IG951 SN�il6-96 SALES COPY MANIFEST # C <br /> 6670505. <br /> 5. <br /> r <br />