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FORWA NON-HAZA OUS WASTE MANIFEST <br /> s WASTE TREA N DISPOSAL FACILITY. <br /> c�NCORPOR-ATE � TANDDS <br /> JOB ACCEPTANCE N0. RR M� <br /> � .a <br /> GENERATORS REQUIRED PERSONAL PRO'T'ECTIVE EQUIPMENT <br /> �`` ;f r.3 : f: `r�,.i '.;. ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> CITY,STATE;ZIP �1�` : SPECIAL HANDLING PROCEDURES: <br /> _ . <br /> ' PHONE-.`• :. <br /> A <br /> CONTACT PERSON . <br /> ' SIGNATURE OP AUTHORIZED AGENT/TITLE DATE <br /> tWASTE TYPE: RECEMNG FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ N014-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ' • ❑ DISPOSAL SOIL <br /> p CONSTRUCTION SOIL ElASH <br /> ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING,FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> 1 NAME NOTES: TRUCK NU BER <br />! ADDRESS <br /> • CITY, STATE,ZIP <br /> PHONE' <br /> — _ 1 END DUMP - BOTTOM DUMP TRANSFER- <br /> p� ❑ ❑ <br /> SIGNATURE OF WTHORIZED AGENT,OR DRIVER DATE ROLLf6FF(S) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS_ <br /> 1 Forward shall have no obligation to accept the waste it weather or other <br /> cDndilions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BYFORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward sha!I use <br /> re2sonabte efforts to promptly notify Disposer of its inability to accept the DIS_POSE BIO AERATE STOGKP, OTHER, <br /> waste for any reason. it 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 to change such that Forward will be able to accept <br /> the waste <br /> REMARk� 4 -- ❑ SLUDGE <br /> . `... NON-FRIABLEt <br /> FAGfL]7Y 7]CC�?Ni3MBER _ <br /> ❑ ASBESTOS j <br /> El WOOD � <br /> SIGNATURE OFAUZ7-lOR1ZEdAGENIT- "� _ DATE:' <br /> �.. a <br /> i <br /> e ❑ ASH <br /> ❑ OTHEROL <br /> ,I <br /> CHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL o 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 it (209)982-4298 <br /> - MANIFEST X 57940 <br /> SALES COPY t <br />