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f <br /> OFRWARD <br /> NON-HAZA, SOUS WASTE MANIFEST <br /> 0WASTE TREAw-BENT AND DISPOSAL FACILITY <br /> k <br /> INC. JOB ACCEPTANCE NO. <br /> GENERATORREQULRI*D PERSD(VAL PROTECTIVE EQUIPMENT <br /> ❑GLOVES [:]GOGGLES ❑RESPIRATOR [:]HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> , SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,LP <br /> PHONE <br /> ;; CONTACT PERSON f <br /> _7 <br /> r ---- <br /> SIGNATURE OF AUTHORIZED G NT/TITLE DATE­ <br /> WASTE <br /> `'•1 I/ � f � f �r <br /> Y WASTE TYPE <br /> h ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> x ❑ DISPOSAL SOIL ❑ WOOD 9999 .SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑-ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ (209) 982-4298 PHONE <br /> !., .:��...�r.c.:s.[ 1, ► J''. <br /> (209) 982-1009 FAX <br /> NAME. <br /> y ADDRESS <br /> n` CITY,STATE,ZIP <br /> PHONE _ _ . _. .��.__.�K L���_M '.::j: BQTZQM DUMB _ .T_RANSFER_:_ j <br /> fN 0 <br /> S[GNATURiJOF•�►UTHORI It <br /> A E1VT(}R�RIVEF ,y�ArE = t( LL-0FF1S1 _F1 AT SEDC-„ VAN _ DRUIv�S�_ <br /> r. �. �' Il ❑ ❑ ❑ <br /> ' FORWARD INC. LANDFILL pyp4q- � - --: w-LL �.-�---- �- --- <br /> Forward shall have no obligation to accept the waste it weather or other f L-> <br /> conditions impair the safe and effective disposal of the waste or 9 the waste DISPOSAL M>=THOD:,•l=. (TO BE COMPLETED BY FORWARD) <br /> impairs the sate and effective operation of the I a fill. Forward shall use <br /> ISPOSE :BIO RATE STOCKPILE OTHER <br /> reasonable efforts to promptly nosily Disposer of its inability to accept the �a ,"=;y...,_ _4... �_ — _._. _.- _ _. ..... _ <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 wilt be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> - _-..a_.._.� _ .. ._�_�__J __�,�. - ❑ NON-FRMLE _ <br /> ASBESTOS <br /> FACILITYTICKET NUMBER <br /> s . ._ .,_ ._..... ----._....,,..r.K..__._._._. ❑ WOOD , <br /> SIGNATURE OF AUTHORIZED.AG ENT'. `.:;.. : :. ` DATEY':_- �=_�: <br /> --._. ..........:::_�.._.. El ASH ' <br /> ❑ OTHER I <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR-TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. I <br /> TO SCHEDULE CALL(209) 982-4298 <br /> MANIFEST # 14345 <br /> SALES CC]--'Y <br />