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' FORWA,RD O "+ NON-HAZ�DOUS WASTE MANIFEST I`'1 WASTE TRWMENT AND DISPOSAL FACILITY JOB ACCEPTANCE N0. ENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT C. )' GLOVES ❑OTOES ❑RESPIRATOR E]HARD HAT MAILING ADDRESS TY-VEK ❑ HER SPECIAL HANDLING PROCEDURES: CITY, STATE, ZIP PHONff CONTACT PERSON SIGNATURE OF AUTHORIZED AGENT / TITLE DATE • WASTE TYPE ECEIVING FACILITY ❑ SLUDGE TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL • DISPOSAL SOIL ❑ WOOD ❑ CONSTRUCTION SOIL ❑ ASH - 9999 SOUTH AUSTIN ROAD ❑ OTHER MANTECA, CALIFORNIA 95336 GENERATING FACILITY (209) 982-4298 PHONE j ` �'" � � � � v� (209) 982- 1009 FAX AME NOTES: TRUCK NUMBER J � AdDFiESS . CITY, STATE, ZIP PHONE EN D MP BOTTOM DUMP TRANSFER ❑ ❑ SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS 1-1 El El FORWARD INC. LANDFILL CUBIC YARDS Forward shall have no obligation to accept the waste if weather or other i conditions impair the safe and effective disposal of the waste or if the waste PLETEDBY FORWARD) DISPOSE BIO impairs the safe and effective operation of the Landfill. Forward shall use DISPOSAL METHOD: (TO BE COM STOCKPILE OTHER reasonable efforts to promptly notify Disposer of its inability to accept the RQ'TF waste for any reason. If Forward's refusal to accept the waste is based on weather or other site conditions, Forward shall notify the Disposer when site ❑'SOIL conditions are expected to change such that Forward will be able to accept the waste. E] SLUDGE REMARKS NON-FRIABLE ❑ ASBESTOS FACILITY TICKET NUMBER ❑ WOOD GNATURE OF AUTHORIZED AGENT DATE ❑ ASH ❑ OTHER Million M tSCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE BJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. SCHEDULE CALL(209)982-4298 401 MANIFEST# 92 L cei ce nnw ,