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1FORWARD NON-HAZARP"US WASTE MANIFEST tip I I I\' C ORPORATED .r WASTE TREATMtIfT AND DISPOSAL FACILITY JOB ACCEPTANCE N0. 1 7%7� GENERAT REQUIRED PERSONAL PROTECTIVE EQUIPMENT T �- ❑GLOVES ❑GOGGLES []RESPIRATOR []HARD HAT MAILING ADDRESS - ❑TY-VEK []OTHER CITY,SE,ZIP SPECIAL HANDLING PROCEDURES: PHONE CONTACT PERSON SIGNATURE,OF/aU HORIM GE / TITLE DATE • WASTE TYPE RECEIVING FACILITY ❑ SLUDGE ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH ❑ OTHER MANTECA, CALIFORNIA 95336 • GENERATING FACILITY (209) 982-4298 PHONE (209) 982- 1009 FAX NAMEA NOTES: TRUCK NUMBER ADDRESS . CITY,STATE, ZIP LQ)D lcj. C)�2142,2142, PHONE END DUMP BOTTOM DUMP TRANSFER SIGNATUREf`OF U ORIZED GET OR DRIVER DATE ROLL-OFF(S)1:1 OLL--❑OFF(S) FLAT-BED❑ VAN DRUMS * �\ �..,. ❑ ❑ ❑ ❑ FORWARD INC. LANDFILL CUBIC YAR[jS Forward shall have no obligation to accept the waste if weather or other + conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) impairs the safe and effective operation of the Landfill. Forward shall use reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSEI 81 AERATE STOCKPILE OTHER waste for any reason. If Forward's refusal to accept the waste is based on SOI — weather or other site conditions, Forward shall notify the Disposer when site �'LLJJ LL. conditions are expected to change such that Forward will be able to accept • the waste. ❑ SLUDGE REMARKS ' ❑ NON-FRIABLE ASBESTOS FACILITY TICKET NUMBER ❑ WOOD SIGNATURE O F�ITHORIZED APE I NT BATE / i ❑ ASH ❑ OTHER SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE SUR-IFCT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST RE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. TO "r:HEDULE CALL (209)982-4298 091367 MANIFEST # GENERATOR COPY