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' FOR-WARD NON-HAZARDOUS WASTE MANIFEST WASTE TREATMENT AND DISPOSAL FACILITY lNC' JOB ACCEPTANCE NO. -,F 3 ' GENERATOR ' —•--- - REQUIRED PERSONAL PROTECTIVE EQUIPMENT ;�C; GLOVES GOGGLES ❑RESPIRATOR �I IARD HAT M6�ILING A_DDRESS - - -- ❑TY VEK ❑OTHER n2G ___�ir7i Itiu r'�7/77uif/ ��r•_ EosU _ ._ CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: S40 PHONE CONTACT PERSON SIGNATURE OF AUTHO D AGENT /TITLE DATE WA E TYPE RECEIVING FACILITY ❑ SLUDGE ' ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL • DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH ASH ' ❑ OTHER MANTECA, CALIFORNIA 95336 • GENERATING FACILITY _ (209) 982-4298 PHONE (209) 982- 1009 FAX NAME NOTES: TRUCK NUMBER ADDRESS - . PITY,STATE,ZIP - • PHONE END DUMP BOTTOM DUMP TRANSFER SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS _ FORWARD INC. LANDFILL CUBIC YARDS 1 Forward shall have no obligation to accept the waste if weather or other conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BEC COMPLETED BY FORWARD) the safe and effective operation of the Landfill. Forward shall use ' reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPILE OTHER waste tar any reason. If Forward's refusal to accept the waste is based on weather or other site conditions, Forward shall notify the Disposer when site C] SOIL • conditions are expected to change such that Forward will be able to accept ' the waste- ❑ SLUDGE REMARKS • ❑ NON-FRIABLE - - - - — - - - - - - - -- ASBESTOS FACILJTY WICKET NUMBER ❑ WOOD SIGNATURE OI AiJTHORiZED AGENT DATE - ❑ ASH ❑ OTHER SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. ' TO SCHEDULE CALL(209)982-4298 MANIFEST # 14562 GENERATOR COPY