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NON-HAZA►` IJS WASTE MANIFEST <br /> MRWARD <br /> WASTE TREA�NT AND DISPOSAL FACILITY I <br /> Pvc' JOB ACCEPTANCE N0. <br /> GENERATOR REQUIRED PERSON <br /> At=PROTECTIVE EQUIPMENT <br /> 'i'�. !tis I:� 'i ;ti 1•.:'• :_ ..._':l+ .'i:_'I'!=_: ❑GLOVES ❑GOGGLES [:]RESPIRATOR ❑HARD HAT <br /> "33 MAILING ADDRESS ❑TY VEK ❑OTHER <br /> I CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> PHONE <br /> CONTACT PERSON <br /> J{ I.: I..' 't' i:i.t!I::i. <br /> 1 ; SIGNATURES AUTHORIZE4,AGF_NT / TITLE DATE <br /> �f WASTE TYPE _ _ iCEIVING FAG�L1TYya •__.,.:�. ,. _.._-_..- _ _ <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> =z ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AU STI N ROAD <br /> n ❑ CONSTRUCTION SOIL O' ASH <br />' --. ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> I <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> ! t. I l .• _. :Lh{►�L (209) 982-1009 FAX <br /> i <br /> NAME NOTES: TRUCK NUMBER <br /> ADDRESS <br /> _ CITY,STATE,ZIP <br /> PHONE END DUMP ::.;;: : BOTTOM DUMP TRANSFER -- <br /> ' 51GNATU,RE OF AUTHORIZED AGENT OR DRIVER DATE . ._ - . ROLL-O.FF(S}._-- FLAT-BED VAN DRUMS <br /> 9Y C1 <br /> El 11 <br /> FORWARD INC. LANDFILL CUBIC YARDS, <br /> - <br /> Forward shall have no obligation to accept the waste it 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 /> reasonable eflorts to promptly notify Disposer of its inability to accept the „� DISPOSE BIO I AERATE STOCKPILE OTHER <br /> waste for any reason. it Forward's refusal to accept the waste is based on SOIL <br /> t <br /> 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 /> n REMARKS NON-FRIABLE <br /> ^� ❑ ASBESTOS <br /> K C FACILITY TICKET NUMBER _ _.. .. _. ... �._ ❑ WOOD <br /> i <br /> SIGNATURE OF AUTHORIZED AGENT . _.- DATE:: <br /> ASH <br /> ❑ OTHER i <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> S1.16JECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)482-42913 <br /> MANIFEST # 12065 <br /> SALES COPY <br />