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NON-HAz OUS WASTE MANIFEST <br /> .. FORWARY4 WASTE TREATWENT AND DISPOSAL FACILITY� INCORPORATED <br /> JOB ACCEPTANCE NO.' r�3�§.1r.�^:�r err ."., <br /> GENERATOR REQUIRED PERS019ALPROTECTIVE EQUIPMENT <br /> , ,�� , McLOVES [:]GOGGLES ❑RESPIRA`EOR [HARD FIAT <br /> ' MAILI�G A'DD_RESS ; ❑TY-VarK [--]OTHER <br /> ILIF <br /> CITY,STAATE <br /> ` ' P+ f; ` , ! SPECIAL HANDLING PROCEDURES: <br /> ` ,73 � _ _ _ <br /> PHONE s <br /> 71 <br /> CONTACT P,J RSON <br /> SIGNATURE OF AUTHORIZED AGENT I TITLE DATE <br /> ' WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL C] ASH <br /> AS#� <br /> ' ❑ OTHER MANTECA, CALIFORNIA 95338 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> .T` S '. (209) 982- 1009 FAX <br /> NAME_ } NOTES, 7 TRUCK NUMBER <br /> ADDRESS <br /> _ CITY,STATE,ZIP " <br /> 2 <br /> PHON END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED - VAN DRUMS <br /> TQC . ElEl El <br /> V, <br /> FORWARD INC. LANDFILL cualc YARDS <br /> i <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: (70 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 BIDS. AERATE STOGK?Il� .,OTHER <br /> 1310, . _ .T <br /> • 333:3. _.._..�.. 0333. .__,... . ..., <br /> waste for any reason. If Forward's refusal to accept the waste is based on f <br /> weather or other site conditions, Forward shall 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 /> REMARj � NON-FRIABLE <br /> ASBESTOS <br /> ( ❑ WOOD 1 <br /> SIGNATUR��QF'At.ITF�ORI�ED}�GEN7x�-�. A`�r" Q,ATE R'`'•;: '•• i <br /> ' ❑ OTHER . <br /> SCHEDULING MUST BE MADE*PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL'o ANY UNSCHEDULED LOADS ARE <br /> 'SUBJECT TO REFUSAL> PON-ARRIVAL ONGOING DAILY DEUVERIES MUST.BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL.(209)982-4295 MANIFEST # 57932 <br /> { <br /> f <br /> SALES COPY <br />