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CFORWARFORWARDMON-HAZAOUS WASTE MANIFEST <br /> .a" ! N r O R P O R A T E D WASTE TREATTVIENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 744911 <br /> GE�'JERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> or'-Mian Oil ®GLOVES [:)GOGGLES ❑RESPIRATOR HARD HAT <br />' MAILING ADDRESS - ❑TY-VEK [:1 OTHER <br /> 'AiCn1&t Coag'[ <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> Sra.-th S=tYwriszo CA 94OW <br /> PHONE -4 <br /> (925)8773-9239 <br />' CONTACT PERSON <br /> SIGNATUR�OF AUTHORIZED AGENT/TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ' ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • [] DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br /> ❑ <br /> STOCKPILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME ' TRACTOR LIC.# TRUCK NUMBER ' <br /> ADDRESS TRAILER LIC. # L; <br /> ' 1f <br /> CITY, STATE, ZIP TRAILER LIC. # <br /> PHONE , END DP BOTTOM DUMP TRANSFER ; <br /> SIGNATURE 641A THORIg[� AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ` %V sp <br /> FORWARD INC. LANDFILL CUBIC YAI 1S j i <br /> 1. {;. <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 1110 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 shalt notify the Disposer when site ❑ SOIL <br /> ' conditions are expected to change such that Forward will be able to accept' <br /> the waste. ❑ SLUDGE <br /> • REMARKS <br /> • NON-FRIABLE <br /> FACILITY TICKET NUMBER s ❑ ASBESTOS <br /> - ❑ WOOD <br /> SIGNATU=REt=OF AUTHORIZED AGENT_ DATE <br /> } , f;� i,• ❑ 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 /> UBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE, <br /> O SCHEDULE CALL (209)982-4298 <br /> fF04(C95Y INH)6-96 SMANIFEST# C ALES COPY 63 <br /> 700 <br /> 7 0 <br /> r <br />