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FORWARDNON-HAZAR[ US WASTE MANIFEST <br /> VI. INCO R P ORATE D <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. -I) <br /> GENERATOR <br /> ,.,��•�- �-� REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> , op "� O} ❑GLOVES ❑GOGGLES [-I RESPIRATOR [-]HARD HAT <br /> MAILING AD RESS 1. - [_1TY-VEK ❑OTHER <br /> G � T1J'` � SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> � <br /> • P ONE , I G� -524 0 <br /> zo9) 6it <br /> � -3��i� <br /> ��,--,(N(++.TACT PERSO�N�� <br /> SIQNA �F A 1H E AGENT/ TITLE DATE <br /> WAST TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAM NOTES: TRUCK NUMBER <br /> ADDRESS <br /> ' . cir�Y,lc 'n�,zl�. 4 I(� 2 <br /> t 4 1 � , q E)jq u �= <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ❑ �9 ❑ <br /> • SI OF AU ORIZ D AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARPS / <br /> Fo,ward shall have no obligation to accept the waste if weather or other p <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on -SOIL - <br /> weather or other site conditions,Forward shall notify the Disposer when site " <br /> conditions are expected to change such that Forward will be able to accep <br /> • the waste. ❑ SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER, • ASBESTOS <br /> ❑ WOOD <br /> SIGNAT RE OF AUTHORIZED AGEN DATE <br /> ���,, ❑ ASH <br /> _ �. . 1 . ❑ OTHER <br /> ^CHEDI(LING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> r UR,IEC L TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVEJIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CAVIL (209) 982-4298 O I`` O <br /> MANIFEST # <br /> (CFNFRATnP r.npv <br />