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()s4l FG-RWAR1b - NON-HAZA US WASTE MANIFEST <br /> "I ,U [ ORA 7 E D -0 WASTE TREA NT AND DISPOSAL FACILITY <br /> -JOB ACCEPTANCE N0. 1744911 <br /> QENERATOR y REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ <br /> ' p3 rte'++.Krr OD 0 GLOVES []GOGGLES ❑RESPIRATOR 0 HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> • So6th S=Fr. scc C 94,%0 <br /> PHONE <br /> fr'5?873-92238 <br /> ' CONTACT PERSON <br /> SIGNATI RE OF AUTHORIZED AGF-NT/ TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • Q 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..# I TRUCK NUMBER <br /> ADDRESS T" RLL C. # ,f <br /> t3:'5:%Box 191lft <br /> - CITY,STATE,ZIP TRAILER LIC. # <br /> 934 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> GNATURE OF cj?' AUTHORIZED AGENT OR DRIVER DATE ROLL F(S) FLAT-BED VAN DRUMS <br /> MS <br /> El <br /> FORWARD INC. LANDFILL CUBIC YARDS ,rF <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 1 BIO, AERATE STOCKPILE OTHER <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 1-� <br /> ' conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS - NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER ; <br /> _ . . ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> 1 r �_( Iti. ❑ ASH <br /> -[..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) 982-429$ <br /> F01 IC951 iNHI646 SALES COPY MANIFEST # C O 5. <br />