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NON-HAZ OUS WASTE MANIFEST <br /> n WASTE. TRENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO <br /> GENERATOR V REQUIRED PERSONAL"PROTECTIVE EQUIPMENT <br /> Q�COVES <br /> El GOGGLES ❑RESPIRATOR cO+iARD HAT <br /> MAILfIV ADDRES _ ❑TY—VEK []OTHER <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> PHONE <br /> CONTACT PERSON <br /> +SII►GNATURE F AUTHORIZED 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 /> ' •• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 009 FAX <br /> NAME NOTES: TRUCK NUMBER <br /> ADDRESS <br /> ' . • CITY, STATE, ZIPv <br /> PHONE <br /> END DUMP BOTTOM DUMP TRANSFER <br /> ,:- ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL—OFF(S) FLAT—BED VAN DRUMS ( <br /> r y <br /> FORWARD INC. LANDFILL CUBIC YARDS7. <br /> ; <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 SY 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 ` 1310_ AERATE STOCKPILE _OTHER, <br /> waste for any reason. If Forward's refusal to accept the waste is based on SOIL <br /> M <br /> weather or other site conditions,Forward shalt notify the Disposer when site <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste, <br /> REMARKS ❑ SLUDGE <br /> ❑ NON-FRIABLE <br /> _ <br /> ASBESTOS <br />. . FACILITY TICKET NEJMBER�= w,-r��'�. � -`. ,.`.. tF Vr-�" r •, � ^ ! <br /> • K <br /> r : <br /> ❑ WOOD E <br /> SIGNATURE( F AUTHORIZED AGENT' DATE _ <br /> ❑ ASH <br /> 0T HER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE r <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 /> MANIFEST # 57934 <br /> SALES COPY <br />