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(& FORWARIJ NON-HA DOUS WASTE MANIFEST <br /> V►=' ,INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> -- <br /> JOB ACCEPTANCE NO. E 7r7 i 1 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Stoddml P_tbnokum CORnptmly T— __._ W _ _� GLOVES ❑GOGGLES ❑RESPIRATOR HARD HAT <br /> MAILING ADDRESS NTY-VEK [-]OTHER <br /> � <br /> CITYITY,, STAT Dr <br /> - - - SPECIAL HANDLING PROCEDURES <br /> STAT _ <br /> PHONE <br /> 2Q9 8'707 <br /> ON ACT PERSON <br /> Jay- __ <br /> ___ _ _ <br /> SIGNATURE F A_ UTHORIZED AGENT/ TITLE DATE <br /> WASTE YP _ RECEIVING FACILITY I <br /> I <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD <br /> CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ <br /> STOCKPILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GEwERATING FACILITY _ (249) 982-4298 PHONE <br /> 3300 Went Lane,RtoddOE,CA i <br /> (209) 982- 1009 FAX <br /> ME _ TRACTOR LIC # TRUCK NUMBER I <br /> ADDRESS --- - LXI�� C�_ �JJ$�JrPlr¢[. _Trot✓ <br /> TRAILER LIC # <br /> • CITY, STAVE, ZIP _ TRAILER LIC # <br /> PHONE '_ _ END DUMP BOTTOM DUMP TRANSFER <br /> r��• �_c_�ci lig - i�r'� µ ❑ ❑ ❑ <br /> SIGNATURE OF AUTHO ZED ENT OR DRIVER_ DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> - _ - ❑ ❑ ❑ ❑ <br /> I <br /> FOyVARD� INC. LANDFILL PUBIC YARIas <br /> Forward shall have no obligation to accept tie waste if weather or other F <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 5 <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ISP 610 AERATE 1STMIKKEOTHER <br /> waste for any reason if Forwards refusal to accept the waste is based on _ J <br /> weather-or other site conditions, Forward shall notify the Disposer when site OIL , <br /> conditions are expected to change such that Forward will be able to accept <br /> =the waste ❑ SLUDGE <br /> " NON-FRIABLE <br /> --- _ -- _ ❑ ASBESTOS f <br /> FACILITY TICK <br /> T NUMBER', _ _ _ <br /> ❑ WOOD <br /> GNATE OF AUTH EN TJ DAME <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE 4ADE PRIOR J6 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL U VN ARRI ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209 - 298 GENERATOR COPY <br /> F01(C951INH)6 96 MANIFEST # C 624675 <br />