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ORWARD NON-HA? NRDOUS WASTE MANIFEST <br /> WASTE TiTMENT AND DISPOSAL FACILITY <br /> ' �1VCr <br /> JOB ACCEPTANCE NO. 94 6 4 <br /> , <br /> , <br /> k GENERATOR r:. REQUIRED PERSONAS PROTECTIVEEQUIPMENT <br /> ! n,- - _ ❑GLOVES ❑GOGGLES ❑RESPIRATOR HARD HA t <br /> :.1 �.iiiE 1•:'•E�,_!THc.P � '.(':_`i._'1'I <br /> i MAILING ADDRESS _ -- --.--�___..�__.. _. ❑TY-VEK []OTHER <br /> f C!L. i[i pi-ii;=i i, SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> • �"I't-F:`}:i•'ail . , .. it`,''.�=f" <br /> PHONE <br /> CONTACT PERSON _-... ......"_..___...w <br /> SIGNATURE OF AUTHORIZED GENT/TITLE, DATE <br /> - WASTE TYPE_.__..:. RECEIVII GLFFACIL.tT�Lz <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 /> AVEHUE (209). 982-1009 FAX <br /> C TOP , CA <br /> i r <br /> NAME _TR: <br /> NUMBER <br /> M 4-U."E ��t' TFUt�r.iYlt. , ILS+' �. !'� <br /> I ADDRESS <br /> C.G:-i;3 ELDER C 4::EEK F0 ADLi� <br /> CITY,STATE,ZIP _ ._._ L <br /> ..fL C.ri <br /> PHONE r` END DU BOTTOM DUMP TRANSFER <br /> SIGNATURE OF,AUTHOR_ IZED AGENT OR DRIVER� pAi�E�„,•' ROLL-OF {S}- .- ` FLAT BED VAN DRUMS <br /> i FORWARD INC. LANDFILL cusIc�YADs _-... .._. .:_... <br /> : .f.2 <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 it the waste pISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use =, p�SPOSE Bl0 AERATESioCKPEIE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the �,; ,..- F- ,. .v:. , .- <br /> waste for any reason. If Forward's refusal to accept the waste is based on El SOIL <br /> 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 <br /> ._. .. . _�.� ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT__ DATE. <br />{ .. . ._ _ _ _.�,L....�.. ...- -- -•- [3 ASH <br /> i * ❑ 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 12070 <br /> ���0 <br /> SALES COPY MANIFEST # <br />