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� j /FORWARD_ NON-HAZAF,,,)US WASTE MANIFEST <br /> 1 NCO R P ORA TE D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. — 7 :95- / <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> SALJ/ tJ n ❑GLOVES ❑GOGGLES ❑RESPIRATOR ]HARD HAT <br /> MAILINGADDR SS� ❑TY-VEK [:]OTHER <br /> o�0 -./.7v1 ('!N.C r� �?O c4 G SPECIAL HANDLING PROCEDURES: <br /> CITY, STATE,ZIP <br /> PHONE _ <br /> _. () 1-7 3 L4 9 1314' <br /> i <br /> CONTACT PERSON <br /> //, /-)•(..,.7 d <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 /> e <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> L ° (209) 982- 1009 FAX <br /> NAME NOTES: TRUCK NUMBER <br /> 7 <br /> T" ; <br /> ADDRMS G ,7 )r <br /> J-lco 1,,,; <br /> • CITY, STATE, ZIP y <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> It ❑ ❑ <br /> _ SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YAR S l / <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 D!S�PPCOYSAL 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, FOrwa4d shall notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to 9ccept <br /> the waste. S i ❑ SLUDGE <br /> • REMARKS <br /> ' NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> -LL ❑ WOOD <br /> I <br /> SIGNATUR / AUTHORIZED JG NT1 DATEr( C <br /> E] ASH <br /> OTHER <br /> 11 ==mwm6mmmm6==mmJ <br /> SCHEDUUhIG MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> IIRJECT TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BF SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209) 982-4298 091363 <br /> MANIFEST # <br />