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ORWARIP NONAARDOUS WASTE MANIFEST <br /> ''VEr• JOB ACCEPTANCE NO. WASTE TREATMENT AND DISPOSAL FACILITY <br /> _ <br /> GENERATOR- <br /> REQUIRED PERSON <br /> AL PROTECTIVE EQUIPMENT <br /> : S I:lD 5T?I°� <br /> MAILING ADDRESS ❑GLOVES ❑GOGGLES ❑RESPIRATOR E]HARD HAT <br /> CITY-VEK ❑OTHER <br /> 40 Ashier Ave. <br /> CITY STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> cs 1AtCs, C:, ?5G3G <br /> PHONE <br /> L"_9_— <br /> CONTACT PERSON <br /> SIGNATURE OF AUTHORIZED AGENT/"TITLE: _ 'DATE. <br /> r <br /> f` �INL�M �^-l�-rt�y�-.,::.r:tractcr 11i 14/95 <br /> • <br /> WAS,E TYPE RECEIVING FACILITY <br /> ❑ <br /> SLUDGE <br /> TREATMENT SOIL ❑ <br /> • ❑ DISPOSAL SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> • El OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATINGFAcwTY+ (209) 982-4298 PHONE <br /> -. Alpine Ave. <br /> `ockton, �a (209) 982- 1009 FAX <br /> NAME <br /> NOTES- TRUCK NUMBER <br /> ADDRESS: <br /> T- <br /> °^ ccx_ _5' <br /> - CITY,,STATT_ZIP <br /> cdi, C 954' -1 <br /> ' PHONE- END DUMP BOTTOM DUMP TRANSFER _ <br /> SIGNATURE OF AUTHORIZEQ AGENT OR DRIVER DATE ROLL-OFF(Sy_ <br /> X% - _ - ❑ ( T FLAT-❑BED _ ._VAN. DRUMS. '. <br /> 1 f14/QS ❑ ❑ <br /> FORWARD INC. LANDFILL cuBicyARQs _ <br /> Forward shall have no obligation to accept the waste if.weather or other <br /> conditions impair the safe and effective disposal of the waste or.. the waste <br /> impairs the safe and effective operation of the Landfill. Forward shall use DISPOSAL METHOD. (T(7BE COMPLETED BY FORWARD) <br /> reasonable efforts to promptly notify Disposer of its inability to accept the -_ - DISPOSE, .BIO- AERATE STOCKPILE <br /> waste for any reason. If Forward's refusal to accept the waste is based on - "OTHER <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 acc <br /> the waste. <br /> • ,REMARKS ❑ SLUDGE <br /> . ❑ NON-FAIABLE <br /> FACILR YTICKET NUIv BER1 . ASBESTOS <br /> j / ❑ WOOD <br /> SIGNP�fJREJ6FF, UTHORIZED_A NT " A- <br /> � ❑ ASH - <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TOA1001P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAt4ING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (209) 982-4298 <br /> 3EAlEAATCR COPY MANIFEST# 41944 <br />