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' <br /> F&RWARD <br /> NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> ►NC= JOB ACCEPTANCE NO. q—,5-. . - Y - :71 <br /> GE . RAT0R _ _ _REQUIRED PERSONAL PROT V UIPMENT <br /> fir, ,.0 LOVES OGGLES IRATOR - iARD HAT <br /> NrAItUN ADDR TY-VEK OTHER <br /> ESs - - - _ ❑ ❑ <br /> C�l�?int%U �j�ar/ _S�•_fc. �? 4$a_ . - SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE_ZIP <br /> PHONE <br />' CONTACT PERSON <br /> SIGNATURE OF AurtqRIZED AGENT/TITLE DATE <br /> -7' <br /> WASTE TYPE RECEIVING FACILITY <br />' ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> p,DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br />' ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FAciuTY _ (209) 982-4298 PHONE <br /> ffiys T.,Acta,.✓ (209) 982- 1009 FAX <br /> NAME NOTES:. TRUCK NUMBER. <br /> ADDRESS/ <br /> UA/�E /�7,9fra;qC T�.4s�zpa✓r,���! <br /> 233 -- _ <br /> • CITY,STATE,ZIP <br />' PHONE'_ =-. `�;... END DUMP BOTTOM DUMP TRANSFER <br /> ri <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS} FLAT-BED VAN DRUMS <br /> a g <br /> FORWARD INC.LANDFILL CUBIC YARDS <br />' Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the sate and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE'COMPLETED 13Y FORWARD} <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br />' reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCIMLE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions, Forward shall notify the Disposer when site ❑ SOIL <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> . :REMARKS NON-FRIABLE <br /> _ ❑ ASBESTOS <br /> FACILITY TICKET NUMBER - <br /> ._ -- -- _ --- -- - -- —___ - ��- ❑ WOOD <br />' - SIGNATURE OF AUTHORIZED AGEPIT _- <br /> -- -_ - - - ❑ ASH <br /> ❑ OTHER _ <br /> SCHEDUUNG 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 DEUVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY-BEORE.. <br />' TO SCHEDULE CALL(209)982-4298 MANIFEST # 1 4 5 4 8 <br /> GENERATOR COPY <br />