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FORWARD <br /> NON—HAZ<)OUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. �+ 1 -•— �:ia'� <br /> GENERATOR REQUIRED PERSONA4.P[�OTECTIVE EQUIPMENT <br /> .... �,'1 .=�']'L':: ❑GLOVES [D GOGGLES L]RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY VEK ❑OTHER <br /> ------------------ <br /> i.l l SPECIAL HANDLING PROCEDURES: <br /> —I CITY,STATE,ZIP <br /> PHONE L LL" <br /> CONTACT PERSON <br /> �'LiI . :_ �f~t 'i is •rk,.. + <br /> SIGNATURE OF AUTHORIZED A ENT /TITLE DATE_ <br /> WASTE TYPE _. . RECEIVINGFACIUTY..:; v.,:...- <br /> r� <br /> ❑ SLUDGE <br /> j ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> f: ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> _�- ❑ CONSTRUCTION SOIL ❑ ASH <br /> 1 ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ (209) 982-4298 PHONE <br /> :.iilri-cz�c��:;i�• ���..-.:F I . - <br /> (209) 982-1009 FAX <br /> NAME NOTES'_ _. ._.._, . TRUCK,NUMBER <br /> i•i:=.fli.i•:� .. . ._Ei'. 'i f:!.E .'i-:IEiCf! _ . -- � r �. <br /> ADDRESS ) <br /> fn LL.L+i:i: �:i ilii: f'.i:i•:!= <br /> CITY,STATE,ZIP _ <br /> ' PHONE ENDDUMP.._,:. <br /> ' BOTTOM DUMP . TRANSFER <br /> SIGNATURE OF-AUTHORIZED AGENT OR DRIVER DATE :. ,ROtl-OFF(S) :;:k . ,FLAT BED VAN-_._ DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuslcYARD$.: 'i <br /> Forward shall have no obligation to accept the waste it weather or other <br /> conditions impair the safe and effective disposal of the waste or it the waste DISPOSAL METHQD:`. (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> n reasonable efforts to promptly notify Disposer of its inability to accept the __•_,_v DISPOSE -B[O AERATE STOCKPILE OTHER <br /> waste far any reason. If Forward's refusal to accept the waste is based on 0 SOIL <br /> It weather or other site conditions.Forward shalt 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 TICKET-NUMBER _. .. ._..-- -.- <br /> - J� ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT , DATE i <br /> ._ ❑ ASH € <br /> E 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 /> TO SCHEDULE CALL(209) 982-4298 MANIFEST # 12064 <br /> SALES COPY <br />