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TORWARLbNON-HAZAWUS WASTE MANIFEST <br /> j N C O R P O R A T E D WASTE TREAT141ENT AND DISPOSAL FACILITY <br /> ~" JOB ACCEPTANCE NO. 744911 <br /> GENERATOR ., _ REOUIRED PERSONAL PROTECTIVE EOUIPMENT <br /> -]GOGGLES Ott M GLOVES GOGGLES [:]RESPIRATOR HARD HAT <br /> ' MAILING ADDRESS "� _`� ❑TY-VEK ❑OTHER <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> ' . Srx1,2=Frat2i.,=gCA940W <br /> PHONE <br /> (9f5;873•'_09 <br /> CONTACT PERSON <br /> SIGNATURFjOF AUTHORIZED AGENT / TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> Q DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ' ❑ CONSTRUCTION SOIL ASH <br /> ❑ STOCK PILE ❑ OTHER -MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> ' rli8*swrg'99 (209) 982- 1009 FAX <br /> NAME " TRACTOR LIC.# n {j•I ! ' TRUCK NUMBER <br /> wls:ate <br /> ADDRESS TRAILER LIC. # 4r,� <br /> • CITY,STATE,ZIP TRAILER LIC. # <br /> PHONE f END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF,�UTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FCUBIC ORWARD INC. LANDFILL YA�Ds,-,k r. <br /> Forward shall have no obligation to accept the waste if weather or other '1 <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 ❑"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 <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> _. _.._._... ❑ WOOD <br /> SIGNATURE,TOF AUTHORIZEQ AGENT DATE <br /> `~t <br /> -c-' ❑ ASH <br /> ❑ OTHER <br /> 1 ° <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 /> Fo7(C9577NH)6-96 SALES COPY MANIFEST # C v 70 4 <br />