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�,�#. ORWARDD NON-HAZA US WASTE MANIFEST ; <br /> a <br /> ;�� ��n-'0 TED WASTE TREATMENT AND DISPOSAL FACILITY <br /> � <br /> - JOB ACCEPTANCE NO. 744911 . <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ' <br /> �]GLOVES [:]GOGGLES ❑RESPIRATOR Q HARD HAT ts' oil ❑TY-VEK [:]OTHER <br /> MAILING ADDRESS <br /> 449�ilfick4)e C4uq SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> • sotF h Mn FrExism C 4 94050 <br /> PHONE , ] <br /> (52'5)1;73-9235 N(rf••• <br /> ' CONTACT PERSON <br /> SIGNATURE_ OF AUTHORIZED)kGENT/TITLE DATE <br /> • WASTE TYPE RECEMNG 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.# <J9 Z`7L 2 TRUCK NUMBER <br /> ' ADDRESS TRAILER LIC. # I VL4 <br /> • CITY,STATE,ZIP TRAILER LIC. # <br /> r�­r�rcCA 9'4 1.1 F PHONE END DUMP BOTTOM DUMP - TRANSFER <br /> 1ir7G.{���� ©� ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLC-OFFS) FLAT-BED; VAN DRUMS <br /> El El 11 <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the sate and effective disposal of the waste or a 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 w_._.. . <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER. <br /> t ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT.. DATE <br /> '' ,� ! �� E] ASH <br /> L2C,.,� <br /> ! C �1 C ;�� OTHER <br /> SCHEDULING MOST 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 /> F01(C951INH)6.96 SALES COPY MANIFEST # C 6602—C93. <br />