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NON-HAZ �h•.SUS WASTE MANIFEST <br /> L%RWARD U WASTE TREATFVIENT AND DISPOSAL FACILITY <br /> IFIVC- JOB ACCEPTANCE N0. E��-3-i <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT HARD HAT <br /> []GLOVES ❑GOGGLES ❑RESPIRATOR ❑ <br /> I I'. : ,r i'i : •'j i:, :".• ' OTY-VEK ❑OTHER <br /> {MAILING ADDRESS <br /> •. ., i ! k t l i i SPECIAL HANDLING ROCEDURES: <br /> I CITY,STATE,Zip <br /> �t! PHONE <br /> '—` CONTACT PERSON <br /> SIGNATURE OF AUTHORIZED AG /TITLE. DATE <br /> - WASTE TYPE " .. . .. - :. REC. LYING.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 /> -•• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982-1 009 FAX <br /> I `� ,_4t,t�•1'�_i l,i , .'!: �1 rte:Ll'i <br /> ' 7NAME NOTES: ` TRUCK NUMBER <br /> i ADDRESS <br /> CITY,STATE,ZIP <br /> PHONE .._B <br /> SND DUM�/._ ;. OTTOM DUMP <br /> TRANSFER <br /> r SIGNATURE QF AUTHORIZED AGENT OR DRIVER DATE ,., ._...._,._ ROLL-OFF(S)"___,;_;FLAT-BEI .; VAN. DRUMS <br /> ❑ ❑ ❑ ❑ <br /> CUBIC YARDS. :�.':.::: <br /> FORWARD INC. LANDFILL 1.0 III. : <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 t.andtill. Forward shall use DISP SE BIO AERATE STOCKMLE OTHER <br /> r. reasonable efforts to promptly notify Disposer of its inability to accept the _ _ ,�• ._ _Q_. <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> n 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. ❑ SLUDGE <br /> i REMARKS <br /> _ . _._ .. . ...: . .� ,... � NON-FRtABLE <br /> E �� ❑ ASBESTOS <br /> —. FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> -SIGNATURE OF:AUTHORIZED AGENT DATE, <br /> ❑ ASH <br /> 7k ❑OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> SUBJEC l•TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209) 982-4298 MANIFEST # 12061 <br /> RAI FS crsPY _ <br />