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FORWARYA <br /> �► NON-HA <br /> Z OUS WASTE MANIFEST <br /> INCORPORATED WASTE TRE <br /> ENT r <br /> AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO <br /> h r <br /> ENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> GLOVES []GOGGLES ❑RESPIRATOR JAHARD HAT <br /> MAILING ADDRESS - ❑TY VEK ❑OTHER <br /> 1905 Navy Dnye_, _ <br /> CITY,ST,�Tg,Zlp w -� _ - ,_ -x -�— SPECIAL HANDLING PROCEDURES = <br /> Stock ow-CA95206 <br /> PHONE <br /> CONTACT PERSON <br /> S,INA7URE OF AUTHORIZED AGENT / TITLE DATE <br /> * _ - <br /> WASTE PE <br /> - _ RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBES`FOS FORWARD INC LANDFILL <br /> DISPOSAL SOIL ❑ WOOD <br /> CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> ,GENERATING FACILITY _ = -__ _- _- _ (209) 982-4298 PHONE <br /> 3300 Weed Lme�Stoddon,CA i <br /> (209) 982- 1009 FAX <br /> �. _ A _� i <br /> ME�'' �. ,�` _ TRACTOR LIC # � � '�� TRACK NUMBER i <br /> `ADDRS~ LL TRAILER LIC # <br /> • CITY,STATE,ZIP_ - _ TRAILER LIC # { <br /> • @199 .7�^'rt% ,�__�-l�c%% ! <br /> PHONE' _ _ END DUMP BOTTOM DUMP TRANSFER <br /> E3 El <br /> SIGNATURE OF AUTHORIZE[,Adt T OR D_R1VF�R N 1 DATE_ - y ROLL-OFF{S) FLAT-BED VAN DRUMS <br /> ,�,,r _M1 ❑ ❑ ❑ ❑ <br /> i FORWARD,INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if w@ather or other 1 <br /> conditions impair the safe and effective disposal of the waste or if the waste pISPOSAL METHOD (TO BE COMPLETED BY FORWARD <br /> impairs the safe and effective operation of the Landoll Forward shall use ) <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BID AERATE STOCKPILE OTHER <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 sit OIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste- _ ❑ SLUDGE <br /> ❑ NON-FRIABLE <br /> r�ACILITY TICKET NUMBER - - - ���-`^"T�'� _ ASBESTOS <br /> _ _ _ - ❑ <br /> WOOD <br /> I 7U E OF AUTHORIZED AGENT r _ DATE <br /> ASH <br /> /7A,/( OTHER I <br /> SCHEDULING 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 GENERATOR COPY E r ' <br /> F01(C9511NH)6 06 MANIFEST # C 624662 <br />