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07:48 i;,U :Ua 4- - Luot - <br /> FORWARD NON-HAZhr1DOUS WASTE MANIFEST <br /> INC OR POR ATE D WASTE TREATMENT AND DISPOSAL FACIUTY <br /> JOB ACCEPTANCE N0. <br /> GENERATOR ---...-- ---- --•-• REQUIRED PERSONA. PROTECTIVE EQUIPMENT <br /> CI <br /> . RRI OF—S - .__ .__.-. . QSLQVES SGOGGLEsaRESPIRATOR CHARD HAT <br /> ,ANU_ NG ADDRESS ... . :::.::' _: _ []TY-VEK []OTHER <br /> ... .. SPECIAL HANDLING PROCEDURES: <br /> CITY STATE.ZIP, <br /> 9 77 <br /> ;PHONE <br /> CORTACT PERSON- . <br /> ;SIGNATLIRE'.OFAUjHORIZED-�E`T�TITLE .. ....' <br /> • WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • p DISPOSAL sot ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br /> • 12 OTHER MANTECA, CALIFORNIA 95336 <br /> • (AF co.rrA..vw iµbl-ero I�`fiMt- <br /> GEnIERanlvGfnellm..: (209) 982-4298 PHONE <br /> (Z� C{ 2Cu 1T5�►.(� • (209) 982-1009 FAX <br /> NAME _._ ....---.. .... —_... NOTES: _..... TRUCK NUMBER <br /> ADDRESS.` <br /> PHONE ......... _..._ —END❑DUMP, .. ... ---•,BOTTO�DUMP. TRANSFER . <br /> SIG NAT RE OFAUTiO RDRIVE AGENTO R, .DATE•.-:. ROLL-OFF(S) FLAT-BED :, _VAN _DRUMS..-., _ <br /> .. <br /> — ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obrVation to accept the waafe I weather or odrer <br /> cwditiom irr=ir the safe and effective dmosal of the waste or If the waste ,DISPOSAL-METE{OD: >: .(TO-BEC)MPLETEU'BY FORWARD) <br /> impairs the safe and effective operation of the Larno'fl0. Forward Shall use . <br /> reasonable efforts to promptly notify Dieoaxr of ita limbilrY to 8CCW the <br /> r. <br /> waste for any reason. it Forward's refusal to accept the walla Is basad on <br /> weather or odw site condirierss. Forward shall natty the Dicpow when site ❑ SOIL <br /> conditions are espacted to charge such that Forward win be able to amps <br /> the waste_ _ ❑SLUDGE <br /> REMAAKS _ _ c <br /> ,_„ ❑ IABL <br /> ASSEESSMSS E <br /> F4CILfTY'TICiO <br /> .,NUMB <br /> ER <br /> _ _. .. ❑WOOD <br /> SIGNATURE <br /> - ❑ ASH <br /> 7E ❑ 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 a< 6 10 81-C <br />