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I <br /> FORWARDNON-HAS ,9DOUS WASTE MANIFEST <br /> WASTE TR TMENT AND DISPOSAL FACILITY <br /> SNC" JOB ACCEPTANCE N0. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> []GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER ! <br /> CITY,STATE,ZIP. • J✓` SPECIAL HANDLING PROCEDURES: <br /> PHONE <br /> CONTACT PERSON <br /> SIGNATURE OF AUTHOR5EQ AGENT/TITLE DATE <br /> i <br /> WASTE TYPE <br /> • ::' ,_. RECE[ViN.G FACI_LITY. ,.' : . <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL <br /> ❑ CONSTRUCTION SOIL p ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _._:-:-__• <br /> (209) 982-4298 PHONE <br /> - ,� .�f ,.� (209) 982- 1009 FAX <br /> r 7::� 7 <br /> ` NAME- <br /> � ADDRESS �� *r � __.� __._. .._, • -- <br /> le- <br /> CITY,STATE,ZIP <br /> PHONE.'. <br /> `'3 SND DU I? -= sYEjOTfQM DUMP TRANSFEA. <br /> L...V i:. .}--„tea... -. y` ;+.-- T.• <br /> - _ <br /> SIGNATiRE OF AUTHORIZED AGENTARDRIVER= . <br /> El El <br /> FORWARD INC. LANDFILL - <br /> ' I <br /> Forward shall have no obligation to accept the waste if weather or other r <br /> conditions impair the safe and effective disposal of the waste or if the waste <br /> impairs the sate and effective operation of the Landfill. Forward shall use DISPOSAL METHOD:.'.' (TO BE COMPLETED BY FORWARD) <br /> reasonable efforts to promptly notify Disposer of its inability to accept the , DfSPOSE 810 AEAATE STOCKPILE = OTHER <br /> waste for . :r . .J _. _ . -_ _ r;.. -any reason. If Forward's refusal to accept the waste is based on <br /> 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 /> the waste. ❑ SLUDGE <br /> NON-FRIABLE . <br /> • FACILITY TICKET NUMBER: ❑ ASBESTOS: <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED.AGRNT�`::_.__ D TE.: _=' <br /> ......_� . �--- _�_-._ — <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 1209)982-4298 h1 14343 <br /> 4 3 4 3 <br /> MANIFEST # 1 <br />