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NON-HAZARDOUS WASTE MANIFEST <br /> FORWARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO, ', .. .-- 3- � . <br /> 1 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> LOVES OGGLES RESPIRATOR HARD HAT <br /> MAILING ADDRESS w - _ [:]TY-VEK (]OTHER <br /> Gan �,qj�,;..�v �Q,q�a.r�- _.3.�•_ft ��oS� - <br /> CITY STATE,ZIP — - SPECIAL HANDLING PROCEDURES: <br /> PHONEY <br />' coNTAct F I RsoN - <br /> YfE. - <br /> SiGNATURE OF AUTHOR ZED AGENT f TITLE DATE <br /> ua" 3 <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br />' �❑-TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ,El CONSDISPOTRUCTION <br /> SOITIO ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br />' w ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ (209) 982-4298 PHONE <br /> ,r�A Q (209) 982- 1009 FAX <br /> s rd4.�fJ.✓ CfJ /S"..�CJZ <br /> NAME' NOTES: TRUCK NUMBER <br /> ADDRESS <br />' ,2-3 ,Yoif7�1H c�Qr',n%/7C Avr� <br /> •.C_ITY,STATE,ZIP <br /> .PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS_ <br /> 7k' -,r , S1 <br /> �.z 1_rz I <br /> FORWARD INC. LANDFILL CUBIC YARDS m <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 opera Ion of the Landfill. Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPILE 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 <br /> NON-FRIABLE <br /> _ _ t ❑ ASBESTOS <br /> FACILITY.TICKET NUMBER _ <br />' <br /> WOOD <br /> -- -- --- - ---- - _ _ ❑ <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 />' <br /> SUBJECT <br /> E CALL( ON ARRIVAL. <br /> ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY.BEFORE. <br /> MANIFEST # 14550" <br /> ! GENERATOR COPY <br />