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LFG`RWARDNON-HAZAI, OUS WASTE MANIFEST <br /> WASTE TR EANT AND DISPOSAL FACILITY <br /> Jrjvr� ; <br /> JOB ACCEPTANCE 140. -� � •� <br /> GENERATOR - REOUIREP_PRSONAA;PROTECTIVE EQUIPMENT <br /> ❑GLOVES []GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> PHONE 1 ii <br /> i <br /> „-: CONTACT PERSON <br />{' 7' SIGNATURE O AUTHORIZED A ENT /TITLE DATE <br /> ni WASTE TYPE - s RECEIVINGFACjL[TY-;!_. <br />} :.I ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> r+� ❑ CONS SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ <br /> CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> i, GENERATING FACILITY (209) 982-4298 PHONE <br /> i (209)1982- 1009 FAX <br /> NAME NOTES- TRUCK NUMBER <br /> jY ADDRESS <br /> CITY,STATE,ZJP <br /> 1 PHONE _._ END DUMP„:,. BOTTOM DUMP TRANSFER <br /> 66-1 <br /> SIGNATURE OF AUTHOR1ZEp AGENT OR DRIVER DATE . ;ROLL-0I_ , ffW BED VAN DRUMS <br /> FORWARD INC. LANDFILL G_qeICYARDS <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 <br /> DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> ri reasonable efforts to promptly ratify Disposer of its inability to accept the _ __-_- , dISPOSE BIO AERATE STOCKPILE OTHER <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 /> r the waste. ❑ SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> - ❑ WOOD <br /> i, SIGNATURE OF AUTHORIZED AGENT DATE <br /> ... .. .: .. . . .. .... .• - ------ --- - _.----- - ❑ ASH I <br /> ❑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)91112-42911 1 n D n <br /> MANIFEST # C 6 <br /> SALES COPY <br /> 1 <br />