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NON-HAZARI "IJS WASTE MANIFEST FORWARD ,. WASTE TREATMtIll AND DISPOSAL FACILITY 40 INCORPORATED JOB ACCEPTANCE N0. F -n E REQUIRED PERSONAL PROTECTIVE EQUIPMENT GENI7tC_� ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT .MAILIIN�N,,GnnADDRESS �^�- ❑TY-VEK ❑OTHER W) W 7)Z� � �� SPECIAL HANDLING PROCEDURES: CITY,STATE,ZIP PHONE,7ra (.+ Drq CONTACT E SON 1 SIGNATU O U HH RIZ E GEN / TITLE DATE • WASTE TYP v 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 NAME /^ NOTES: - � RUCK NUMBER ADDRE,S )0 0 . CITY,STATE, ZIP 1 f ID , • PHONE t4�Y.;Y� 1.i END DUMPY BOTTOM DUMP TRANSFER ❑ ❑ SIGNATUR ORIZED AG TOR RIVER DATE ROLL-OFF(S) FLAT-BE VAN DRUMS El El El FORWARD INC. LANDFILL CUBIC YAR q 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 -DISPOSE BIO AERATE STOCKPILE OTHER reasonable efforts to promptly notify Disposer of its inability to accept the �----' waste for any reason. If Forward's refusal to accept the waste is based on SOIL weather or other site conditions, Forward shall notify the Disposer when site conditionsare expected to change such that Forward will be able to accept the waste. ❑ SLUDGE • REMARKSNON-FRIABLE ❑ ASBESTOS FACILITY TICKET NUMBER ❑ WOOD SIGNATURE OF �HORIZED A ENT DATE 1 ❑ ASH �� V ❑ OTHER SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE ^UBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE '!O SCHEDULE CALL (209)982-4298 MANIFEST # 091362 GENERATOR COPY