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3�T <br /> FORWANON-HAZAU20US�� r- WASTE MANIFEST <br /> j = <br /> 1 N C O R P O"�tA T E `ti t" WASTE TR NT AND DISPOSAL FACILITY <br /> - - x JOB ACCEPTANCE N0. '744911 <br /> . <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT. <br /> Wrnpim Oi? = Q GLOVES ❑GOGGLES []RESPIRATOR HARD HAT <br /> MAILING ADDRESS ` ' ❑TY-VEK ❑OTHER <br /> CITY, STATE, ZIP SPECIAL HANDLING PROCEDURES: <br /> � VtTar�Fi.�il f`rtt,c_r.�.CA 94680 <br /> - PHONE <br /> CONTACT PERSON <br /> SIGNATVF AUTyOR[ZK AGE TITLE DATE <br /> _ ' �,Q <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LAN-DFILL <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- 1 009 FAX <br /> NAME TRACTGR-UC,.# TRUCK.NUMBER <br /> ADDRESS TRAILERj_IC # <br /> J -71 <br /> .•"i. _ _..�.'..7L K... JAI6E_kLj1C- <br /> CITY,STATE, ZIP # <br /> PHONE END,DPP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL`-OFFS) FLAT-BED VAN _ DRUMS <br /> 7i <br /> CUBIC YARDS,, ,, <br /> FORWARD INC. LANDFILL `7,, <br /> Forward shalt 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 ❑ SOIL <br /> conditions are expected to change such that Forward will be able to accep - <br /> the waste. ❑ SLUDGE <br /> REMARKS - <br /> . •,• . . '- ❑ NON-FRIA$LE . <br /> :.. ..s, : ., ,.14SBESTOS <br /> FACILITY TICKET NUMBER ""' , <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZi D'AGENTw''_. DATE <br /> fr . ] r � ❑ ASH <br /> f r <br /> —� ✓�1�� '' f� f OTHER <br /> CHEDULING 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 /> �01 JC951INHy 6.96 SALES COPY MANIFEST # C -S Z Zo ter, <br />