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t <br />01-FORWARO)NON-H RDOUS WASTE MANIFEST <br />v►® [ N C O R P O R;A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br />' SOB ACCEPTANCE NO,.� <br />GENERATOR "� '{ `REQUIRED:PE,f3SONAL;PROTECTIVEEQUiPMENT <br />.. <br />(� 'J {{c� . '' iZ1l� Y Yll�t j _ <br />SLUDGE <br />E] GLOVES []GOGGLES []RESPIRATOR ❑ HARD HAT <br />MAILING.ADDREtS°.' <br />❑ TY—VEK ❑ OTHER <br />a <br />SPECIAL HANDLING PROCEDURES: <br />CITY ST TEI <br />S <br />PHOEel <br />e <br />)) <br />g <br />SIGNATURE O TITLE..;.a DATE <br />,AUTHORIZE}D,AGENT <br />WASTE TYPE, x 4 KI a_........,,...s..r.._.e,.._.,.. ...�..�:.:.,'__�r�..�.J.❑r. .. <br />__�`v._l..Fa _> <br />ECM..N,..GFACILT <br />waxiY. .. .., <br />❑ TREATMENT SOIL ❑ NON—FRIABLE ASBESTOS <br />• ❑ DISPOSAL SOIL ❑ WOOD <br />❑ CONSTRUCTION SOIL ❑ ASH <br />ee ❑ OTHER <br />C-1 <br />Zcir1 7/4 /:. ✓ Q�'1 : r r ? i . <br />�A, DDRESS.., v ---- _ _ .. , ..,, t .. .. • �.., r ,.,...�. e. ,,._. <br />`ClTY, STATE ZIP <br />PHONE � �v� •%� �� ", -(,� ter, <br />FORWARD INC. LANDFILL <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 <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 <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 <br />conditions are expected to change -such that Forward will be able to accept <br />the waste. <br />ZIGNATUR OF AUTF ORIZED AGENT <br />FORWARD INC. LANDFILL <br />9999 SOUTH AUSTIN ROAD <br />MANTECA, CALIFORNik95336 <br />(209),9.82-4298 <br />•• •i 1 • <br />(209)\V2-1009 FAX <br />._ J&Y�/Z <br />1JT(4Z$�IU <br />v1P ....... —7,BC <br />DISPOSAL METH <br />k DIS <br />❑ SOIL <br />❑ SLUDGE <br />NON -FRIABLE <br />® ASBESTOS <br />❑ WOOD <br />❑ ASH <br />❑ OTHER <br />U <br />DUMP N ` _TRANSFER <br />,, _ VAN-•r�DRUMS , <br />'El F1 <br />(TO BE COMPLETED <br />)SEI BIO J AERATE Iii <br />vhVVAht <br />OTHER <br />SCHEDULING MUST B MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br />SUBJECT TO REFUSAL UROK ARRIVAL. ONGOING DAILY DELIVE I S UST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br />TO SCHEDULE CALL (209) 982-4298 : f r MANIFEST # 73179 <br />s �� ( S//////ALES COPY <br />