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s <br /> W; FORWA NON-HAZA OUS WASTE MANIFEST <br /> I-N C O R P O R ATE a r WASTE TREA1WNT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO <br /> GENERATOR REOUIRED.PERSONAL PROTECTIVE EOUIPMENT <br /> OGLOVES []GOGGLES ❑RESPIRATOR ©HARD HAT <br /> MAiLINq ADDRi SS ` , _. _ ❑TY-VEK ❑OTHER <br /> CITY,STATE,ZIP .-�:`. <br /> '. r� SPECIAL HANDLING PROCEDURES: <br /> PHONE-.'- <br /> CONTACT PERSON-,, <br /> 11 SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> ' • WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL El wool) SOUTH AUSTIN ROAD <br /> ElCONSTRUCTIOTIO N SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME NOTES: TRUCK NUMBER <br /> �ADDRESS. t ;:. <br /> - <br /> CITY,STATE,ZIP <br /> PHONE,` END DUMP BOTTOM DUMP TRANSFER <br /> = �r ; ❑ ❑ <br /> SIGNATURE O I�,J ORlZED GENT OR DRIVER DATE ROLLOFF(S) FLAT-BED VAN_ DRUMS <br /> 'oaf ad 810 ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS i- <br /> Forward shall have no obligation to accept the waste it 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 'BIO'.: AERATE STOCKPILE ' OTHER'.' <br /> waste for any reason. If Forward's refusal to accept the waste is based on El SOIL <br /> weather or other site conditions,Forward shall notifythe Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste SLUDGE <br /> j ` REMARKS - _ �" '==-': ❑ I <br /> ! „ NON-FRA <br /> LE <br /> ❑ ASBESTOS <br /> ITCKBFACILIT <br /> --'--�, - - Wim. - ❑ WOOD <br /> SIGNATURE OF AUTI-{OFZIZE_a AGENT���-�`" s`' DATE-=•Y=om"'^ I <br /> ❑ ASH <br /> i ❑ OTHER <br /> 1 <br /> CHEDULING 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 /> ]t <br /> SCHEDULE CALL (209) 982-4298 <br /> MANIFEST# 57935 <br /> SALES COPY <br />