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FORWARDA., NON-HAZARD US WASTE MANIFEST <br /> INCORPORATED WASTE TREATNW AND DISPOSAL FACILITY <br /> `1 . JOB ACCEPTANCE N0, 768911 <br /> GENERATOR REOUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Jvwpifa 0.1 E]GLOVES []GOGGLES ❑RESPIRATOR ©HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 'Micheik COUA <br /> CITY, STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> S cti;&=IGt orCA 94080 <br /> PHONE. <br /> l�&r)1467-10ox <br /> CONTACT PERSON <br /> ril r�.1 <br /> SIGNATURE,OF AUTHORIZED AGENT/ TITLE DATE <br /> �L� <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ wooD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> AME TRACTOR LIC. # TRUCK NUMBER <br /> ADDRESS TRAILER LIC.r# »� <br /> • CITY, STATE,ZIP TRAILER LIC.`# <br /> 5f.'i CA 9+ rev <br /> r PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OAUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) <br /> FLAT-BED VAN DRUMS' <br /> ' FORWARD INC. LANDFILL CUBICYARDSry; <br /> i Forward shall have no obligation 10 accept the waste if weather or other E <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 DISPOSE SIO AERATE STOCKPILE OTHER <br /> I reasonable efforts to promptly notify Disposer of its inability to accept the <br /> waste for any reason, If Forward's refusal to accept the waste is based on SOIL <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%vaste• ❑ SLUDGE <br /> REMARKS NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICK&=T NUMBER : <br /> i ❑ WOOD <br /> S1GNfTU OF AUTHORIZED AGENT x DATE <br /> 1 ❑ ASH <br /> I ❑ OTHER <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 /> O SCHEDULE CALL (209) 982-429$ r+:� <br /> �,ICFSi y16.46 SALES COPY MANIFEST # C <br /> ct�766 <br />