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��'� FORWARD NON-HAZAFOUS WASTE MANIFEST <br /> v�. INCORPORATED WASTE TREA NT AND DISPOSAL FACILITY <br /> 11 <br /> 51 <br /> JOB ACCEPTANCE NO. -7 <br /> 3EN 1�4TOf REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> f [:]GLOVES [:]GOGGLES []RESPIRATOR ❑HARD HAT <br /> M ILINGADDR SS ❑TY-VEK [-]OTHER <br /> ay a`7 Jos c W l SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> PHONE <br /> 97 L«O _7c9c)(5 <br /> CONTACT PERSON <br /> SIGNATUR*10qE UTH//OR D AGE / TITLE DATE <br /> i 31 o7 <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ' )RI DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> t <br /> NAME NOTES: TRUCK NUMBER <br /> AD RESS <br /> I- <br /> . CITY,STATE,ZIP <br /> 5� �100 IU, cjg5� I EN DUMP BOTTOM DUMP TRANSFER <br /> PHONE' <br /> 0 11 <br /> SIGNA 4E OF AUTHORIZ AGENT OR DRIVER' DATE ROLL-O F(S) FLAT-BED VAN DRUMS <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 FORWARD) <br /> impairs the safe and effective operation of the landfill. Forward shall use DISPOSE BIO AERATE 7ocicf>I OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> waste for any reason. If Forward's refusal to accept the waste is based on I''I IL <br /> weather or other site conditions,Forward shall ratify the Disposer when site Sc+' <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE \ <br /> • REMARKS NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNNryggqTIJ TE OF AUTHORIZED AGENT ' DATE <br /> / ❑ ASH <br /> �CI/�_ �\ (n'LC J ❑ 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 # 71060 <br /> r;FNFRATnR COPY' <br />