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FORWARIV NON-HAZASOUS WASTE MANIFEST <br /> �o INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO, ae-_ 71/ ,. <br /> ENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> [-]GLOVES ❑GOGGLES [:]RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> fqD � SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP <br /> - PHONE <br /> g7o7 <br /> CONTACT PERSON <br /> SIGNAT RE��(AUTHORIZED AGENT / TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> E] SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME t/ a '' vt NOTES TRUCK NUMBER ; <br /> p't a <br /> ADDRESS <br /> E <br /> . CITY,STATE, ZiP�,���� <br /> • <br /> PHONE -- <br /> END DUMP BOTTOM DUMP TRANSFER <br /> S1 NATVRE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> El <br /> FORWARD INC. LANDFILL rC�BIC�YARS <br /> Forward shall have no obligation to accept the waste if weather or other j <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <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 BIO 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 site <br /> conditions are expected to change such that Forward will be able to acce <br /> - the waste ry„ - SLUDGE ; <br /> NON-FRIABLE x{ <br /> ❑ ASBESTOS <br /> FACILITY TICK MBE <br /> .�.- - ❑ WOOD , <br /> f 1 F' }✓ <br /> SIGNAT F AU O D A T Y,� <br /> ❑ ASH <br /> ❑ OTHER � { <br /> SCHEDULING MUST BE RIOR 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 .1•- 75595 <br /> ' <br /> - �, .. � MANIFEST # <br /> GENE COPY <br />