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F ORWARD <br /> �. NON—HAZA..—OUS WASTE MANIFEST <br /> �r�fr WASTE TREATMENT AND DISPOSAL FACILITY <br /> f 11!VLA r <br /> JOB ACCEPTANCE NO. <br /> GENERATOR REQUIRED PI;ASONAL.PROTECTIVE EQUIPMENT <br /> E]GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTH!*R , <br /> {CITY,STATE,Z1P SPECIAL HANDLING PROCEDURES: <br /> PHONE= <br /> CONTACT PERSON <br /> SIGNATURE OF AUTHORIZED AGpNT%TITLE DATE <br /> ,. <br /> RE: <br /> WASTE TYPE :. _ ....._. .. RECEIVING FACiL1TY:: <br /> ❑ SLUDGE <br /> :r ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> f'. ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> „Y. ❑ CONSTRUCTION SOIL ❑ ASH <br /> •- ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> r .�. �zt L _ ..;•r :al��: (209) 982-1009 FAX <br /> 4 <br /> NAME 1'_ F T F NOTES: ' TRUCK NUMBER <br /> V.EI..aI t..Ir.L•1 u ✓;.+li:. �' .LI~ _. <br /> fit ADDRESS <br /> CITY,STATE,ZIP <br /> PHONE END DUMP :,.,:_.. BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER_ DATE_. ; „_,', ROLL-OFF(Sj-'-'. J AT-BED VAN DRUMS,_ <br /> * - ❑ ❑ ❑ ❑ <br /> -r <br /> FORWARD INC. LANDFILL cuslc YAFios :.:._::._L_l :., 1Xr�__ <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the sale 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 /> rr reasonable efforts to prompay'nolily Disposer of its inability to accept the _ RISPC}5E el_D AERATE STOCKPILE -OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on E] 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 /> �. ❑ ASBESTOS <br /> FACILITY PICKET NUMBER <br /> ._.. ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT • _ _s. DATE�':_� ''`: <br /> _ . ❑ ASH <br /> 0 OTHER <br />