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,E NA <br /> ffN' R -NON-HAZ OUS WASTE MANIFEST <br /> . <br />' I N C-0 . . ) R A T E4 WASTE TRENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 744911 <br /> GENERATOR ;;: _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> '01wpi.ae oil P GLOVES ❑GOGGLES ❑RESPIRATOR HARD HAT <br /> MAILING ADDRESS 4,.. ❑TYVEK []OTHER <br /> tx7 i w;la CCQO <br /> CITY, STATE,7UP'..°n SPECIAL HANDLING PROCEDURES. <br /> - <br />' - PHONE ;. <br /> CONTACT PERSON <br /> SIGNATU7 OF AUTHgRIZED AGENT/TITLE DATE <br />' WASTE TYPE RECEIVING FACILITY <br />' ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH . 9999 SOUTH AUSTIN ROAD <br /> 1 _ ❑ STOCK PILE ❑ 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.'# <br /> • CITY, STATE,ZIP TRAILER LIC. # <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS,;: <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: <br /> impairs the safe and effective operation of the Landfill. Forward shall use (TO BE COMPLETED BY FORWARD) <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DIS_POSE BIO 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 shall notify the Disposer when.site_�'. .❑ SOIL <br /> conditions are expected 10 change such that Forward will be able to accept <br /> the waste. <br /> REMARKS ❑ SLUDGE <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> - ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE, <br /> I f^ ❑ 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 /> SCHEDULE CALL.(209)982-4298Fool <br /> {C9571NH)6•P6 SALES COPY MANIFEST <br />