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rWARD NON-HA"N1-7 <br /> rIIOUS WASTE MANIFEST <br /> WASTE 1r,cAlNT AND DISPOSAL FACILITY <br /> iNC. JOB ACCEPTANCE W0. -6y4 t l( `' <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> SEL_ ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS - ❑TY-VEK ❑OTHER <br /> CITY, STATE, P � y 3r SPECIAL HANDLING PROCEDURES+ <br /> PHONE PC <br /> - <br /> zo9 - " i9 6/3/ <br /> CONTACT PERSON <br /> ,f�:7�1�:g <br /> SIGNATUR IOF AUTHORIZED AGENT/ p�TLE LDATE ,Un <br /> WASTE TYPE RECEIVING FACIIJTY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 082- 1009 FAX <br /> fyY <br /> NAME NOTE�� t�7 r TAQ�KS1UIy�BER <br /> ADDRESS yx� <�ap � �JG <br /> . CITY, STATE, ZIP <br /> /`'�w,•)rte to Cyj� %�S� <br /> • PHONE ,. END, DUMP BOTTOM DUMP TRANSFER <br /> �O�— Si'�-�/00 LI ❑ ❑ <br /> _ SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ":::Are r/n..,,'-;'.-f ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL ' CUBIC YARDS <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 if the waste DISP METHOD: (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall yse <br /> reasonable efforts to promptly notify Disposer of its inability to acceptt the DISPOSE BIO AERATE STOCKPILE -OTHER <br /> waste for any reason. if Forward's refusal to accept the waste is based <br /> weather or other site conditions, Forward shall notify the Disposer when site S��i <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. - ❑ SLUDGE <br /> • REMARKS <br /> NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TIC ET NUPARER <br /> E:1 WOOD <br /> SIG NUR OF AUTHORIZED AGENT DATE <br /> H <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 GENERATOR COPY 49625 <br /> MANIFEST # <br />