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NON-HAZARDOUS WASTE MANIFEST <br />' <br /> FORWARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT F . <br /> ©GLOVES ❑GOGGLES ❑RESPIRATOR 2HARD HAT <br /> MAILING ADDRE_SS ❑TY-VEK ❑OTHER <br /> q G N SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP _ _ _ <br /> • S,q- .,PAS, _�'�-__9_yss 3 { <br /> PHONE <br />' _CONTACT PERSON--- <br /> SIGNATURE <br /> ERSON SIGNATURE OF AUTHORILZED AGENT/ TITLE DATE.- <br />' •. * _r _ rl W Iv d <br /> WASTE TYPE _ 0- .. w RECEIVING FACILITY <br />' ❑ SLUDGE <br /> • <br /> C] TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • [_a6POSAL SOIL [I WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL r_1 ASH <br /> E] OTHER MANTECA, CALIFORNIA 95336 . <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> S rot�rz�ti e— 7 j- .-r-- <br /> NAME <br /> NAME NOTES: TRUCK NUMBER <br /> 414,11e ` tt� Fr< _.f iJvY�aAI.1�.ur. + <br /> ADDRESS CJ/7 <br /> CITY STATE,ZIP <br /> Sfrjc,9'�N,.. _• mrd _ _�l_.S.1c� � _ <br /> PHONE. - END DUMP BOTTOM DUMP -TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(Sj FLAT BED VAN DRUMS <br /> �Xlv� <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other --�ti 0 <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHO (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> DISPOSE " BIQ AERATE STOCKPILE . OTHER 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 able to accept <br /> the waste. — ❑ SLUDGE <br /> REMARKS NON FRIABLE <br /> ❑ ASBESTOS <br /> ' <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 0 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 # 14558 <br /> Sr. <br /> GENERATOR COPY <br />