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FORWARD NON-HA&� DOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> /NC_ JOB ACCEPTANCE NO. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> - ,fq,e 7 97Ng 2 ZGLOVES ❑GOGGLES ❑RESPIRATOR g]HARD HAT <br /> MAILING ADDRESS ❑TY-VEK [:]OTHER <br /> Mo c v,- 70/7 <br /> CITY, STATE, ZIP SPECIAL HANDLING PROCEDURES: <br /> PHONE ' <br /> CONTACT P RSON <br /> iS <br /> SIGNAT RE OF AUTHORIZED AG NT / TITLE DATE <br /> r /i <br /> ' STE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ EATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> 'GENERATING FACILITY'" <br /> (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> .NAME - <br /> ` / NOTES: TRUCK NJMBER <br /> �/ Z rU� iN c <br /> ADDRESS J i /L <br /> • CITY,STATE,, ZIP <br /> PHONE -- <br /> 33� / END DUMP BOTTOM DUMP TR,',NSFER <br /> foo/ p ElSIGNAT ;OFaYIUIHORI D AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN LRUMS <br /> J <br /> FORWARD INC. LANDFILL CUBIC YARDS <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 DISPOSAL METHOD: <br /> impairs the safe and effective.operation of the Landfill. Forward shall use (TO BE COMPLETED BY :=ORWARD) <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 T- <br /> weather or other site conditions,Forward shall notify the Disposer when site LJ SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> • the waste. ❑ SLUDGE <br /> REMARKS - <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE D-:Y BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST # 65 `I.8 <br />