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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> / � <br /> JOB ACCEPTANCE N0. 6:2 <br /> aEN TOR � REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> R/-- /-j []GLOVES ❑GOGGLES [-]RESPIRATOR ❑HARD HAT <br /> -�[LING ADDR SS y ❑TY-VEK []OTHER <br /> 'at4 9-7 YcSc_n'•ltr. SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP <br /> V-)9 W7'F_c-$ G lv'-)-- <br /> PHONE, qqG _7q�6 <br /> CONTACT PERSON <br /> ,SIGNATURE OF AD AGE /TITLE DATE <br /> UTHO7 <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ 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 NOTES TRUCK NUMBER <br /> AD <br /> /E�"2 qPeFr71"1F %67W-1 pier <br /> a� to LcoYwi5 U � <br /> - CITY,STATE, ZIP E U S j��t m -3 1 <br /> wz�� <br /> �q S�] l <br /> PHONE f EN DUMP BOTTOM DUMP TRANSFER <br /> ISIGNATC'1RE OP AUTHORIZ AGENT OR DRIVER DATE ROLL-0 F(S) FLAT-BED VAN DRUMS <br /> 7k <br /> FORWARD INC. LANDFILL CUBIC/ <br /> YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> 4 Fe <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 DISPOSE BIO AERATE TOCKPI OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> waste for any reason It Forwards refusal to accept the waste is based on 0<1L 1 <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 accept <br /> the waste ❑ SLUDGE 1 <br /> REMARKS NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> L E OF AUTHORIZED AGENT DATE ❑ ASH <br /> �(/�/ ❑ OTHER <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 MANIFEST # 71060 <br /> GFNFRATOR COPY• <br />