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NON -HA RDOUS WASTE MANIFEST <br />FORWA <br />INCORPORA*D <br />T WASTE T ATMENT AND DISPOSAL FACILITY <br />A". <br />JOB ACCEPTANCE NO. <br />9 <br />GENERATOR E!QV1f!PQ <br />7 RSONAL PROTECT <br />A,% <br />EIGLOVES*­nG'OGGLES []RESPIRATOR 0 HARD HAT <br />MAILING ADDRESS <br />TY-VEK E] OTHER <br />CITY, <br />SPECIAL HANDLING PROCEDURES: <br />STATE, ZIP,;:._ <br />SIP! 71 E. P17- E., _ IT <br />_�PT(?R14ED NT I TLE`-�7' <br />❑ SLUDGE <br />• E] TREATMENT SOIL ❑ NON -FRIABLE ASBESTOS <br />• Fl DISPOSAL SOIL ❑ WOOD, <br />2<0NSTRUCTION SOIL ❑ ASH <br />OTHER' <br />GENERATING FACILITY <br />FORWARDINC!I"ANDFILL..-L <br />..9999 SOUTH AUSTIN. ROAD. <br />MANTECA, CALIFORNIA- 9.5336 <br />(209) 982-4298 PHONE <br />(209) 982-10091FAX <br />g <br />JY�§TATE <br />A <br />PHONE..7 EbTTOWDPMF���N§f <br />END DUMP, <br />El <br />HH� §bij�b OF <br />F($)PR!4EP AGENT,OR _TL� <br />__NATPRI�. T-�§EE <br />.SIG ynyg% DRUM <br />El <br />11t�bl �A <br />CUBI <br />FORWARD INC. LANDFILL OW <br />Forward shall have no obligation tdacc6pt the waste if weather or other <br />conditions impair the safe and effective disposal of the waste or if the waste <br />DISPOSAL"ME HOD:-,---, (TO BE COMPLETED <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 OTHER <br />waste for any reason. If Forward's refusal to accept the waste is based on SMI!�E <br />weather or -other site conditions, Forward shall notify the Disposer when site ❑ SOIL <br />conditions are expected to change �yuch that Forward will be able to accept. <br />the waste. E] SLUDGE <br />3 <br />'21" !"Mw MUM TIffin TIT12-MIEW10-5`1 <br />• <br />i EASBESTOS NON -FRIABLE <br />_ UA17ff <br />,K <br />WOOD <br />IGI�ATURE .1-F,7AUT—HONI <br />-P ASH <br />E] OTHER, <br />SCHEDUL114G 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 DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />TO SCHEDULE CALL (209) 982-4298 <br />. G78 <br />MANIFEST # ®1 <br />SALES COPY <br />