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;br ;�ua aoo IuOl <br /> vNOWHAZF—')OUSWASTE MANIFEST <br /> FORWAI�L, <br /> �:►' INCORPORATED WASTE TREg FAENT AND DISPOSAL FACILITY <br /> 4� JOB ACCEPTANCE NO. '; .l.;5 .f <br /> GENERATOR _. —.._. REQUIRED FERSONAL PROTEC EQUIPMENT <br /> -- <br /> - CIR�u L I S — &QVES OGOGGLES E3RESPIRATOR ❑HARD HAT <br /> MAI, NG ADDRESS. .' i::..:. ❑TY-VEK []OTHER <br /> �. •• <br /> CISTATE,ZlP +-. SPECIAL HANDLING PROCEDURES: <br /> ` TY, <br /> ;PHONE ,.: :.' .'. . <br /> 9... ... ........ ... <br /> SIGNATURE OF.AUTHORIZEDENT/.AGTfTLE _ DATE ,. . <br /> UMr' cVs4�� 87 ..6 : <br /> • WASTE E R.ECEM.NG FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBEsTVS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL IZ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH ASH <br /> • 12 OTHER MANTECA, CALIFORNIA 95336 <br /> • p€�s�.„,,�,�,b.x-aro (J�s,uc <br /> GENERAnNGPTY.,; _ (209) 982-4298 PHONE <br /> Kv , Ctf2CUxT571-►.rC_ (209) 982-1009 FAX <br /> NAME _._ . ._...... . .... -- ...... TRUCK NUMBER <br /> ADDRESS:...—.. _._ ____.. .. ......:_.:---..... .. . ..,. .. . ._ : - <br /> PHONE — ...._.:__....... .:...._ `END❑DUMP.... ... _._..BOTTOMDUMP TRANSFER, . <br /> . <br /> SIGNAT RE OF AUTHCP4ZED AGENT OR DRIVER, DATE ROLL-0FF(S) ,• FLAT-BED _, ,VAN ;DRUMS .. _ <br /> FORWARD INC. LANDFILL &C1ARDS <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 a DBP.OSAL•METHOD:::;;• (TO-BE CAMPLETED BY FORVARD) <br /> impairs the safe and effective ooeretion of the Landfi0. Forward shall use - :. <br /> reasonable efforts to promptly notify Disposer of iia inability to accept the 1,4POSE .: BIO;,:: AERATE, STOdCPILE ,.OTHER_-.'. <br /> waste for arty reason. tf Forward's refusal to accept the waste Is basad on <br /> weather or other site conditions,forward shall notify the Disposer whm site ❑ Sc <br /> conditions are avected to charge such that Forward win be able to accept <br /> the waste. _ ❑ SWDGE <br /> NON-FRIABLE <br /> ASBESMS <br /> F/�CILffY'TIGKET•NUMBER <br /> _ — — —-- ❑ WOOD <br /> SIG NATURE_OF AL3THORIZED.AGEW':: — DATE_ ':;'�.• ` <br /> — ❑ 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 0 6 10 8 1- C <br />