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TOUS WASTE MANIFEST <br /> FORWARD <br /> NON H TREATMENT <br /> AND DISPOSAL FACILITY <br /> WASTE TR <br /> 1AX. JOB ACCEPTANCE NO. -�i <br /> REQUIF.Ep PERSQNAL PRQTECTIVE EQUIPMENT <br /> GENERATOR - "" ". GLOVES ❑GOGGLES ❑RESPIRATOR- ❑HARD HAT G <br /> MAILING ADDRESS ❑TY VEK ❑OTHER <br /> - SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP , <br /> PHONE <br /> III ; CONTtACT PERSON <br /> SIGNATURE�917 AUTHORIZED jAgENT/TITLE DATE <br /> WASTE TYPE ._,.__ .._.�..._�_ _ FC �yING �C! .` <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- .. ..,. _' ._ .._.. ._-- .- _ ._ . -._._..-- - . -.- <br /> (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> u., <br /> NAME w:.:.� .. - - ...._ . J TRUCK�llIMBER a <br /> ADDRESS - <br /> /'71 <br /> DDRESS <br /> CITY, <br /> UER <br /> - -TRANSF <br /> -SMD D IME� �s BBOITOM cMP: --_s . <br /> - SIGNA�'URE OF-AUTHORIZED AGENTOR DRNER DPS, x__-�_:= .� PDLL-0FF�S�_' � 1-AFL AT BEp Wit.VAN DRUMS <br /> FORWARD INC. LANDFILL cUalc_'rAcDs ;- ;_: <br /> Forward shaft have no obligation to accept the waste i(weather or other l� <br /> conditions impar 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 Landf�ik Forward shall use . <br /> al0- AERATE STQCISPItE.OTHER. <br /> reasonable efforts to promptly nolify Disposer of its inability to accept the _ <br /> waste for any reason.If Forward's refusal to accept the waste is based on E] 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 /> c. REMARKS <br /> NON-FRIABLE <br /> _.. _........._.._.._ ,.- •- --- - _ � ASBESTOS <br /> FACILITY TICKET NUMBER___.:��;'_;�_. <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGNT�._;: __- �'_ DATES;;;: .'' <br /> ❑ ASH <br /> �C ❑ OTHER . <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. 1"HE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> 5U13JECT TO REFUSAL UPON A1211IVAI_.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE <br /> DAY 3 4 BEFORE. <br /> 'I'O SCHEDULE CALL(2013) 0132-429t! <br /> 1 1vtANIFEST # <br />