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FORWAI jo NON-HAZODOUS WASTE MANIFEST <br /> �►� I N C O R P O R A T E WASTE TRMENT AND DISPOSAL FACILITY <br /> 1 <br /> J(A ACCEPTANCE NO. ` <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT ' <br /> S0*111iPetroleumrtCompm T RGLOVES [:]GOGGLES []RESPIRATORHARD HAT <br /> W�rIj <br /> MAIG ADDRESS ; __ -� y— ❑TY-VEK ❑OTHER <br /> 1905_N+►n Vwm - <br /> PITY,STATE, ZIP —' - SPECIAL HANDLING PROCEDURES <br /> ' _ <br /> PHONIC <br /> C09�Z 8707 <br /> ONTACT PERSON <br /> kN��++.M�carh_ _ -- <br /> 144_U_ F AUTHORIZED AGENT f TITLE_ DATE <br /> WASTE P ,\ µ RECEIVING FACILITY <br /> lyl r <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> ,�f NRRATAG FACILITY___ __�_ (209) 982-4298 PHONE <br /> 3300 west Lane,6ttoddoe,CA (2 0 9) 982- 1009 FAX' � <br /> 1 <br /> I <br /> TRACTOR LIC # _ TRUCK NUMBER <br /> —mod <br /> TRAILER LIC,# I!W Q �i f-7 r v <br /> • CITY,STATE, ZIP _ TRAILER LIC # <br /> . F Q _ END DUMP BOTTOM DUMP TRANSFER i <br /> SIGN�RE OF AUTH IZE A NT OR DRIVER _ DATE - ROLL-OFFS) FLAT BED, VAN DRUMS <br /> C n ,,V■r/� ' Ct BIC YARPS - <br /> w w' ■ daWA 7 UJ I I V.,ILAN D F I LL <. 'J -�- <br /> Forward shall have no obligation to accept t66 waste if wea#her or other <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 theDISPO-$E BIO AERATE STOCKPILE OTHER <br /> _ <br /> waste for any reason If Forward's refusal to accept the waste Is based on '�` _ - <br /> weat dr other site conditions, Forward shall notify the Disposer when site OIL <br /> t nd+tions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> - `" — ` _ - - - — - NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACII�lTY TlCK1=T NUMBER�, � _ _ � I' <br /> ❑ WOOD <br /> - SIGNATl1� «5F AUTHQ{ I Ell A _ DATE - <br /> ASH <br /> C_ 7 <br /> OTHER <br /> SCHEDULING MUST BE MADE qRIOR T0,4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE, <br /> SUBJECT TO REFUSAL UPON A VAL.-ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE I <br /> TO I <br /> FO I ISC5HEDU 6-96MANIFEST <br /> GALL.(209)982-4298 GENERATOR COPY MANIFEST # C 624679 <br /> r <br /> i <br />