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FORWARA NON-HAZ OUS WASTE MANIFEST <br /> �►� INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY i <br /> JOB ACCEPTANCE NO. x <br /> a <br /> GtNERATOR ,' REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Stockton>E'�n_1e_uin Campeny _ _ _ R GLOVES El GOGGLES E]RESPIRATOR HARD HAT <br /> MAILING ADSS --- -" -- ❑TY VEK ❑OTHER <br /> X CITY, <br /> STATE. <br /> Z�W SPECIAL HANDLING PROCEDURES <br /> CITY,STgTE, ZIP � - - -- - -- - - '- <br /> 8W�CA9S206_ <br /> 1`*� <br /> CO°�497PPERSONyy IGNAMTU�RE OF AUTHORIZED AGENT /,TI LE - DATE <br /> WANE PE RECEIVING FACILITY <br /> SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL <br /> CONSTRUCTION SOIL - SH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> S <br /> l�IuATi"GFACILITY - - - - (209) 982-4298 PHONE <br /> ssoo wilt rte,Stocktucli,CA - <br /> (209) 982- 1009 FAX <br /> I <br /> IC <br /> TOR TRA # <br /> � I- _ CIU 161& TRUCK NUMBER <br /> TRAILER LIC # <br /> • GlyY' ffitIP __ TRAILER LIC #„ - r� <br /> END DUMP BOTTOM DUMP TRANSFER <br /> er <br /> -_-- --_ -- � G' �� ❑ ❑ <br /> . SIGNATtJR OFaAUTHORI D A ENT OR DRIVER DA E ROLL-OFFS) FLAT-BED VAN DRFMS <br /> El <br /> FORWARD INC. LANDFILL CUBIC YA S <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 DIS L HOD '' {TO`BE COMPLETED BY FORWARD <br /> impairs the safe and effective operation of the Landfill Forward shall use ) <br /> reasonable efforts to promptly notify Dispose" of Its inability to accept theDISPOSE BIO' AERATE STOCKPILE OTHER <br /> waste for any reason If Forward's refusal to accept the waste is based on - -T - _ - - <br /> weather or other site conditions, Forward shall notify the Disposer when ' J <br /> conditions are expected to change such that Forward will be able to acc <br /> the waste <br /> RERKSSLUDGE <br /> MA <br /> NON-FRIABLE <br /> ❑ ASBESTOS I <br /> _ _ _ _ ❑ WOOD <br /> SIGMA _RE,OF TORI D=A _ DATEi <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADePRIOR 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 SCSHEDUBBE CALL{209,982-4298 GENERATOR COPY 2 4 6 5 8 <br /> MANIFEST # C <br />