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FORWARD.. NOWHAZAR, i WASTE MANIFEST <br /> I N C O R 1' O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Jj,or- <br /> f- J 1, ❑GLOVES ❑GOGGLES [-]RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK []OTHER <br /> d r RO q J SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> • L0 rt/I�G ciSvl�f <br /> PHONE <br /> (,209) 61?- 236C� <br /> CONTACT P9-SON <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> • WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY (209) 982-4298 PHONE <br /> ;�o c.✓ 11.4 1r 1 '1 ' (209) 982- 1009 FAX <br /> NAME rNOTES: TRUCK NUMBER <br /> ADDRE <br /> 7Ic-s - rC 7—r �G <br /> 7—re, /C `/1'Db <br /> ic7v1✓. J44 -, 3 C <br /> • MY, S/TATE,ZIP <br /> LJd• Cc'7 `3J of y K <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> x ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL cuBlc ARD$ <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the, waite or if`the waste DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective•operation of the Landfill. Forward shall use ^i DI OSE BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to pfoffiptly notify Disposed of its inability to accept the _- - <br /> waste for any reason. If Forward's refysal lo,accept the waste is based oft SOIL "- <br /> weather or other site conditions, Fo)w rd shall notify the Disposer whQQrPsite <br /> conditions are ex6ected to change such that Forward will be able to 5ccept <br /> the waste. t ❑ SLUDGE <br /> • REMARKS <br /> ' <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE O A THORIZED AGEN' D T ,( <br /> ❑ ASH <br /> '` ��' �I ❑ OTHER <br /> SCHEDULING MUT BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO nEFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (209)982-4298 091359 <br /> MANIFEST # <br />