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®r ,44 FORWIT NON-HAZ OUS WASTE MANIFEST <br /> I N C O R P O R A WASTE TRiENT AND DISPOSAL FACILITY <br /> + . JOB ACCEPTANCE N0. 76891 <br /> 16TO <br /> !,nvi , REQUIRED PERSONAL PROTECTIVE EQUIPMENT- <br /> ' to GLOVES ❑GOGGLES ❑RESPIRATOR [+ HARD HAT <br /> MAILING ADDRESS . _ .... TY-VEK ❑OTHER <br /> 2,00 hficb� k Cort <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> • C-MV&',4=F> ^o,CA.94480 <br /> ' - PHONE <br /> (2f}3)467-IOD6 <br /> CONTACT PERSON <br /> ' Diu <br /> SIGNATURE QF AU-IORI7ED AGENT/TITLE DATE <br /> 7k % <br /> f <br /> 1 . <br /> WRS1'E TYPE RECEIVING FACILITY <br /> • <br /> TREATMENT SOIL El SLUDGE <br /> T <br /> • Q TREAT E SOIL NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ' ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME TRACTOR LIC.# � <br /> Lt��'al ,.•s�..�, �t ,� ,C Z TRUCK NUMBER <br /> ADDRESS 1 <br /> TRAILER LIC. # f i ,1 f., <br /> ' : • CITY, STATE,ZIP TRAILER LIC. # <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> �[ t ❑ ❑ ❑ El <br /> % •yam <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other f� ' <br /> conditions impair the safe and effective disposal of the waste or if the waste <br /> impairs the safe and effective operation of the Landfill. Forward shall use DISPOSAL 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 Forward's 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 /> • - - ❑ NON-FRIABLE <br /> FACILITY TICKNUMBER _ ASBESTOS <br /> !_. <br /> 11 WOOD <br /> SIGNATURP Of'AUTHORIZED AGENT <br /> 1,` 1 . �.t , , l f`.. _ }. '. 1 1 ... ❑ ASH <br /> ., . f ❑ 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 /> F011C9511NH}6.Q6 SALES COPY MANIFEST # C 7 TO r' <br /> 6' -14 <br />