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FO �LT� '�iON-HAL�OUS WASTE MANIFEST <br /> E WA T TREAT10kENT AND DISPOSAL FACILITY <br /> �+ INCORPORATED S E <br /> JOB ACCEPTANCE N0. 744911 <br /> �aEIvERATOR - REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> O�y ,I,jmr.� ®GLOVES [:I GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK []OTHER <br /> wt <br /> CITY,STATE,Z,.��iw P' <br /> CITSPECIAL HANDLING PROCEDURES: <br /> IP <br /> • Skmn 2 S=Fr�-�,-v,CA 94080 <br /> PHONE <br /> CONTACT PERSON <br /> SIGNATURE OF AU 19E,D AGENT/TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • Q DISPOSAL SOIL ❑ WOOD <br /> E] CONSTRUCTION SOIL F-1ASH9999 SOUTH AUSTIN ROAD <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> WE }$N � �'r-�h (209} 982- 1009 FAX <br /> NAME TRACTOR LIC. # j"�3� TRUCK NUMBER <br /> . � <br /> ADDRESS TRAILER LIC. #r///(JJJ , <br /> • CITY,,STATE, ZIP TRAILER LIC. # <br /> PHONE= ] E D DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE 05 AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> l 11- -fir' ❑ ❑ ❑ ❑ <br /> FORWARD INC, LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other J y y <br /> conditions impair the safe and effective disposal of the waste or if the waste E5ISPOSAL 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 SIO AERATE SJOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on "SOI7, <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 /> a., NON-FRIABLE <br /> _ _ ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> _ ❑ WOOD <br /> SIGNATURE.-6r/Au T ORIZED GENT-` <br /> F1 ASH . <br /> f f ❑ OTHER <br /> t <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 cc <br /> of(C951tWH)6-96 SALES COPY - MANIFEST # C O 7 0 7 5, <br />