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NON-HAZA US WASTE MANIFEST <br /> INCORPORATEDFORWAR156- <br /> E <br /> S <br /> WA T TREAT9ENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. 1768911 <br /> GENERATOR ' __; REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 0"Nma,pia*.,fill [KGLOVES ❑GOGGLES ❑RESPIRATOR [DHARD HAT <br /> ' MAILING ADDRESS - ❑TY-VEK ❑OTHER <br /> 20!,ik:&k Cant <br /> CITY,STATE,ZIPSPECIAL HANDLING PROCEDURES: <br /> ' - PHONE _ _ <br /> (2)CO)467-10M 'r <br /> ' CONTACT PERSON <br /> ilii..Lkle <br /> SIGNATUR€OF AUTHORIZE)AGENT/TITLE DATE <br /> n � <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ' ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • E] 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 /> i.':`-�2 Lwy 99 (209) 982- 1009 FAX <br /> NAME TRACTOR LIC.# TRUCK NUMBER' <br /> ADDRESS TRAILER LIC. # <br /> • CITY, STATE,ZIP TRAILER LIC. # <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> CUBIC YARDS } <br /> FORWARD INC. LANDFILL <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 it 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 STWKPILE OTHER <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 waste. ❑ SLUDGE <br /> REMARKS . <br /> ❑ NON-FRIABLE <br />_ <br /> FACILITY TICKET NUMBER ASBESTOS <br /> _. . w..._.. ,_.w. ❑ WOOD <br /> SIGNATURE OF AIr1TFiORIZED'AGEN7DATE <br /> ❑ ASH <br /> ! �. ', �� / ❑ OTHER •. <br /> SCHEDULING 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 DAIL1r; DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209) 962-4298 <br /> Fol fG951INH)6-es MANIFEST # C SALES COPY 1 v <br /> 1 <br />