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-�Sw, <br /> NON-HAZA' " JUS WASTE MANIFEST WA R� WASTE TREAEN <br /> r-' T AND DISPOSAL FACILITY ! <br /> f d'1'VC_ J06 ACCEPTANCE NO. :.; I ` - i}t:•'I <br /> i <br /> I GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> . . : !: ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY VEK ❑OTHER <br /> t CITY,STATE,Zip SPECIAL HANDLING PROCEDURES: <br /> ftl �PHONE <br /> CONTACT PERSON <br /> SIGNATURE OF AUTHORIZEDhaI T /TITLE DATE <br /> r=1 WASTE TYPE RECEIVING FACI!_fTYr;<J>w _. _...-__.:,'-,:,." <br /> 'l o .. <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL ❑ wooD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY209) 982-4298 PHONE <br /> --- <br /> �' .." ::.'►fur: (209) 982-1009 FAX <br /> NAMEw NATES: ..;.:A TRUCK NUMPER <br /> f ADDRESS , <br /> e , EL.(. i:F. 'i'Ei:i Vk0 .i <br /> „. CITY,STATE,ZIP <br /> PHONE <br /> �'_EN <br /> rD DUMP,,_ :: a . BOTTOM DUMP TRANSFER <br /> ❑ � ❑ <br /> SIGNATUROF AUTHORIZED AGENT OR DRA/ER DATE_;:.;.__ :ROLL-OFFS? _ _FLAT-BED,. VAN DRUMS <br /> " El o ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <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 BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> r, reasonable efforts to promptly notify Disposer of its inability to accept the x, - DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on ❑ SOIL <br /> n 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 /> fr. REMARKS <br /> _ .... .- :_... :. ., . NON-FRIABLE <br /> T ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> ` SIGNATURE OF AUTHORIZED AGENT a DATE <br /> c - . _ .. .-- -- •----- - . ._..._ � L) ASH <br /> 7�C ❑ 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 DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL.THE DAY BEFORE. <br /> l"O SCHEDULE CALL(209)982-4298 120 56 <br /> MANIFEST # <br /> SALES COPY <br />