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NON-HAZAI <br /> ��., US WASTE MANIFEST <br /> f R WARD WASTE, TREATIv.-ANT AND DISPOSAL FACILITY <br /> INC_ <br /> JOB ACCEPTANCE NO. <br /> GENERATORREQUIRED PERSONAL;PROTECTIVE EQUIPMENT <br /> I'k_ lll: ❑GLOVES ❑GOGGLES ❑RESPIRATOR []HARD HAT <br /> I MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> R'PHONE <br /> i CONTACT PERSON <br /> _r.t'111 StGNATUR�F AUTHORIZEPAGENT/ TITLE DATE- <br /> WASTE TYPE ... . y REGEIyWG 17AC11I4TY�:.,.-:_ ._ <br /> �E ❑ 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 w.. . (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> NAME NOT1=5: _ TRUCK NUMBER <br /> _. . <br /> ADDRESS <br /> CITY,STATE.ZIP <br /> PHONE END DUMP _ " BOTTOM DUMP. TRANSFER <br /> J SIGNATURE OF. HORI7TE AGENT OR DRNER DATE ROLL-OFFS) _ rFLAT BED VAN - DRUMS <br /> - l <br /> El <br /> . <br /> CUBIC YA8PS 1. <br /> FORWARD INC. LANDFILL <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 _ DISPOSE - 1310 AERATE ISTOCKRLE OTHER <br /> waste for any reason. it 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 /> REMARKS <br /> -- NON-FRIABLE <br /> � ❑ ASBESTOS <br /> •- FACILITY TICKET NUMBER t. , <br /> _. _ _ - - -:. _. . .- - ❑ WOOD <br /> SIGNATURE OF AUTHORIZE.D AGENT_.,. ___ DATE <br /> _ . . ❑ 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 /> TO SCHEDULE CALL(209)982-4208i �] U <br /> O C Z � <br /> MANIFEST + 1.L <br /> r SALES COP`! <br />