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F WARD <br /> Nr NON-HA:.�oRDOUS WASTE MANIFEST <br /> f'i WASTE TREATMENT AND DISPOSAL FACILITY <br /> /NC_ JOB ACCEPTANCE NO. —C+ <br /> GENE TO REQUIRED PERSONAL PROTECTIVE EQUIP EN_ <br /> ❑GLOVES ❑GOGGLES []RESPIRATOR HARD HAT <br /> 4, ]OTHERMALIN —VEK <br /> /-, C,-.. f <br /> G_ ITY,STATE ZIP R _ SPECIAL HANDLING PROCEDURES: <br /> PHONE P <br /> ,QNTACT PERSON <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE TE <br /> TYPE RECEIVING FACILITY rs _ <br /> ❑ SLUDGE <br /> ❑ .TREATMENT 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 /> ._NERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME NOTES: TRUCK NUMBER <br /> ADDRESS <br /> -, <br /> • CITY STATt ZIP <br /> PHONE,., EN DUMP BOTTOM DUMP TFANSFER <br /> SIGNATLIRE OF AUTHORIZED AGENT OR DRIVER DATE ROL�FF(S) FLAT—BED❑ VAN )RUMS��` \ ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuBlc 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: (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 SrOCKPI1. OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on ,--- - <br /> weather or other site conditions, Forward shall notify the Disposer when site ❑ SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> 'fiE <br /> ❑ NON-FRIABLE <br /> FAGUT,'?-ftkE7�' ' ER i` ASBESTOS <br /> u WOOD <br /> SIGNATIJOE,6F ALI\ IORIZEO AGENT DATE <br /> ❑ ASH <br /> E] OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO. 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED _GADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE CAY BEFORE. <br /> TO SCHEDULE CALL (209) 982-4298 <br /> MANIFEST # 6543 <br />