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1F&RWARD NWAHAZ OWASTE MANIFEST <br /> WASTE TR ENTT AND DISPOSAL FACILITY I <br /> /NC: JOB ACCEPTANCE NO. L <br /> NERATOR -6 <br /> R OUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> �I / V��,J U� ,� }f jGLOVES [-]GOGGLES []RESPIRATOR E]HARD HAT <br /> MAILING ADDRESS TY-VEK [-]OTHER <br /> ? /L/-7 l 77�f �� ?yC SPECIAL HANDLING PROCEDURES: <br /> CITY, STATE, ZIP <br /> PHONE..,_ <br /> CONTACT PERSON t♦ <br /> eGf ` 1` <br /> SIGI NATNAT URE OF AUTHORIZED G NTSdjL/ TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY j <br /> i <br /> F� SLUDGE <br /> TREATMENT SOIL ❑ NON--FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH ASH � <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • f <br /> GENERATING FACILITY i (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> 'T <br /> ME NOTES: TRUCK NUMBER <br /> % r c31 � +� <br /> ADDRESS q6o <br /> . <br /> CITY, STATE, ZIP <br /> PHONE EN DUMP BOTTOM DUMP TRANSFER <br /> / - : �j/ J 1 Cl ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> 1:1 El 11 <br /> I <br /> FORWARD INC. LANDFILL cuelc YARDs <br /> Forward shall have no obligation to accept the waste if weather or other i;, <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETEQ.6Y'FORWARP) <br /> impairs the safe and effective operation of the Landfill. Forward shall use - son- <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO yAERATE: 3T�CKRLE ,OTHER_ <br /> waste for any reason. If Forward's refusal to accept the waste is based on '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 /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> NATURE-OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> / n <br /> ❑ OTHER <br /> CHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED.LOADS ARE <br /> UBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> SCHEDULE CALL (209)982-4298 MANIFEST#, ` 49202 <br />