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NON-HAZARDOUS WASTE MANIFEST <br />' <br /> FORWARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0, <br />' zj� <br /> OR _ - REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> jCj�iC. ESLOVES �OGGLES ❑RESPIRATOR HARD HAT <br /> LING ADDRESS - ' TY VEK ❑OTHER <br /> .�. __ C,g/�liNo _�1•9aN _Sa trU S,C). - SPECIAL HANDLING PROCEDURES: <br /> CIT,�Yqq STATE <br /> • P Df�E -IPi9 arsJ _A - t/} 4/:g3 - - <br /> t <br /> `2G8 -cvo <br /> CONTACT PERSON Y <br /> lvllr_ s]'uc /C <br /> SIGNATURE OF TH D ,4�ENT / TITLE DATE <br /> _ - <br /> 7k <br />' •• - RECEIVING FACILITY -- <br /> WAS E TYP _ . _.x_ ._ _ <br />' ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ISPOSAt SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL ❑ ASH <br />' ❑ OTHER MANTECA, CALIFORNIA 95336 . <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> -F/1 r �� �� ~ (209) 982-1009 FAX <br /> 3 L /L/ 5,4rJ SO?1�u )Ad 5- c,eru v t/.I- <br /> NAME _ NOTES: TRUCK NUMBER <br /> ADDRESS 4 /V,1*F� A T2A���ooc/+q <br /> • CI7Y,STATE,.ZIP <br /> PHONE'--,- - ' ' •. `. _ END DUMP BOTTOM DUMP TRANSFER <br /> El 591 <br /> ' SIGNATURE OF AUTHO131ZED AGENT. OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> Ala El El <br /> FORWARD-11N&. LANDFILL CUBIC YARDS <br /> ' Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair 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 Landfill. Forward shall use DISPOSE BED AERATE STOCKPILE. OTHER <br />' reasonable efforts to promptly notify Disposer of its inability to accept the <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--" to accept <br /> the waste. ❑ SLUDGE <br /> ' REMARKS -- - - - -- - -- <br /> � _ NON-FRIABLE <br /> _ ❑ ASBESTOS <br /> FACILITY TICKET NUMBI R <br /> ' __ - ..-. - ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE. <br /> - - - ❑ ASH <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(209)982-4298 MANIFEST # 14545- <br /> GENERATOR COPY <br />