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NON-HAZA"OUS WASTE MANIFEST <br /> 'FIMWARD WASTE TREA'1TtNT AND DISPOSAL FACILITY <br /> /NC• JOB ACCEPTANCE NO. 6M <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> /�? �� rTr"✓ ����- <br /> ]GLOVES <br /> GOGGLES <br /> RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> CITY;ST ZIP SPECIAL HANDLING PROCEDURES: <br /> , <br /> n <br /> PHO' E <br /> CONTACT PE SON <br /> SIGNAT E OF AUTHORIZED AGENT /TITLE DATE <br /> Q <br /> WAS TYPE RECEIVING FACILITY '{ <br /> ❑ SLUDGE <br /> TREATMENT SOIL F-1NON-FRIABLEASBESTOS FORWARD INC. LANDFILL i <br /> • M DISPOSAL SOIL ❑ WOOD gggg SOUTH AUSTIN ROAD <br /> F1'-CONSTRUCTION SOIL F1 ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> IIIIIIIIIN <br /> ter"' ' NOTES: TRUCK N'.1MBER <br /> NAME <br /> I <br /> ADDRESS <br /> • CITY,STA' ;ZIP - <br /> PHONE �- END DUMP BOTTOM DUMP TR WSF� <br /> ❑ ❑ o <br /> SIGNATURE OF,AU,THORIZED AGENT ORDRIVER DATE ROLL-OFFS) FLAT-BED VAN E RUMS.,_.. <br /> * ❑ ❑ ❑ ❑ <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: (TO BE COMPLETED BY 7 RWARD) <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;;JSTOCKPILII OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on El 801L <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 accept <br /> the waste. / [3 SLUDGE <br /> • REMARKS NON-FRIABLE <br /> ASBESTOS❑ ASBESTOS <br /> FACILITY TICKETNUMBER <br /> ❑ WOOD <br /> SIGNATURE PF AUTHORIZED AGENT DATE -- <br /> ❑ ASH <br /> �C ❑ 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 DAY BEFORE. <br /> TO SCHEDULE CALL (209)982-4298 MANIFEST # 6544 <br />