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- T <br /> NON-HAZMANIFEST <br /> EOUS WASTE <br /> , TORWAY�4 <br /> INCORPORA WASTE TRNT <br /> AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. 768911 <br /> GENERATOR:. REOUIRED PERSONAL.PROTECTIVE EQUIPMENT <br /> Gf razipitn vi B]GLOVES [-]GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> ' MAILING ADDRESSr ❑TY-VEK ❑OTHER <br /> Comet <br /> CITY,STATE,ZIP .^ SPECIAL HANDLING PROCEDURES: <br /> ' • Et Stas Ftxs►dx_v,C.k$WOW <br /> - PHONE <br /> CONTACT PERSON <br /> SIGNAT�5 OF AUTHORIZ� AGENT/ TITLE DATE <br /> � 1 ,r <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ' ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ' 0 DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> [-] CONSTRUCTION SOIL ❑ ASH ASH <br /> ' ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME TRACTOR LIC.# TRUCK NUMBER <br /> ADDRESS TRAILER LIC.# f <br /> Road, LJ <br /> • CITY,STATE,ZIP TRAILER LIC.# <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> El <br /> SIGNATURE 05ATjIORIZE 4E'NT OR DRIVER DATE ROIL-OFFS) FLAT-BED❑ VAN DRUMS <br /> El 0 <br /> FORWARD INC. LANDFILL CUBIC YARDS <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 inability to accept the DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions, Forward shall notify the Disposer when site Q'_SOIL <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 TICKET NUMBER "_ - <br /> . . .. ... _...v:.,_..--- ..._ ._ ❑ WOOD <br /> SIGNATURE OF{AUTHORIZEQ AGENT; DATE- <br /> �.1 > ❑ ASH <br /> n 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 /> KrO01 SCHEDULE CALL (209)982-4298 MANIFEST# C - <br /> os1C951iM1tH]E-B6 5ALE5 COPY r�-� 062 <br />