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' <br /> FORWARD <br /> NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC.. JOB ACCEPTANCE NO. <br /> GENERATOR _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> (,GLOVES CaGOGGLES ❑RESPIRATOR HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE.ZIP <br /> - PHONE <br /> CONTACT PERSON <br /> /C <br /> SIGNATURE OFG T/TITLE. OAT.E <br /> WASTE TYPE _- RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • R DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br />' ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATINGFACILITY (209) 982-4298 PHONE <br /> 35,5. ^10,e A,,,' (209) 982- 1009 FAX <br /> .s1-DCeta, C,4 Asa z <br /> NAME / TRUCK NUMBER, <br /> X"am, <br /> SS <br />' . • X33. ,✓udtN . c��-� .l�c ,�,�� -- - - <br /> CITY,STATE,ZIP <br /> PHONE - END DUMP BOTTOM DUMP TRANSFER <br /> sF— y"To--,< � <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE. ROLL-OFFS) FLATBED VANDRUM$ <br /> I� <br /> ZLVDL) <br /> FORWARD INC. 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: (TO5 BE COMP TED BY 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 STOCKPILE 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. V - - --_ �J_ _— ❑ SLUDGE <br /> + REMARKS <br /> NON-FRIABLE <br /> _ _ ASBESTOS <br /> FACILITY TICKET NUMBER <br />' - -.----- - _ _ _.-- ❑ WOOD <br /> - SIGNATURE OF AUTHORIZED AGENT DATE W <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 TO <br /> REFUSAL <br /> CALL UPON <br /> gS8ONA �R ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO MANIFEST # 14567 <br /> GENERATOR COPY <br />