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U )"z�1y :TO�.WAR16 o NON-HAZA US WASTE MANIFEST <br /> V I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 744911 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />' O TrcS! Oil E GLOVES ❑GOGGLES ❑RESPIRATOR ®HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 60,ji_Bene co'm <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> PHONE <br /> s 9 a5's S7,3-9238 <br />' CONTACT PERSON <br /> n.+u <br /> SIGNATURE AO�IAUTHORIZED A ENT/ TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br />' ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • <br /> F1 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 /> y <br /> NAME TRACTOR LIC_# TRUCK NUMBER <br /> ADDRESS TRAILER LIC. # (' <br /> • CITY, STATE, ZIP TRAILER LIC. # <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 9 <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLLZOFF(S) FLAT-BED VAN "'DRUMS <br /> 13 El El <br /> r��3 \ I �•f. <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shalt have no obligation to accept the waste if weather or other is <br /> 11 <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 shalt use <br /> reasonable efforts 10 promptly notify Disposer of its inability to accept the ( DISPQSE BIO AERATE STOCKME 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 shalt notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> db the waste- <br /> ❑ sLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER_ <br /> [� WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ` �� j ! r �, ❑ 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) 982-4298 <br /> Foi 1C95i 1NH;8.96 SALES COPY MANIFEST # C 1` 8 <br /> :t v J <br />