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-- NON-HAZAPDOUS WASTE MANIFEST <br /> FORWARP - - A, <br /> 1 <br /> INCORPO.R4TE <br /> WASTE TRENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. Lq <br /> REQUIRED PERS01�k#,;.�FIQTECT1Vfi� . , / <br /> LOVES GOGGLES❑RESPIRATOR C34ARD HAT <br /> AUDRESS ;; `` []TY-VEK []OTHER ` <br /> ,STATE.ZtP, SPECIAL HANDLING PROCEDURES: <br /> rig <br /> PERSON= : <br /> NATURE OF AUTI46RZEQ.AGEMT ;TITLE ' DATE <br /> 4- Likw�i <br /> y TYPE <br /> ._ IVII`iG <br /> RAE .. :., FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> gDISPOSAL solL ❑ WOOD t9999 SOUTH AU$TIN ROAD <br /> CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> NERATING FACILITY ' 209) 982-4298 PHONE_ <br /> .i � 1 Vv6v (209) 982-1009 FAX <br /> E .�► - NOTES: TF#l!O MBER <br /> ADDRESS v4.1 Ll L (� <br /> CITY,STATE,ZIP <br /> E END DUMP BOTTOM DUMP TRANSFER <br /> p ❑ ❑ <br /> SIG��. TURE OF AUTHORIZED AGENT OR DRIVER DATE ROLLiOFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> ' CUBIC YARDS <br /> FORWARD INC. LANDFILL .� <br /> � <br /> Forward shall have no obligation to accept the waste if weather or other � y <br /> conditions impair the safe and effective disposal of the waste or 9 the waste DISPOSAL METHOD;: TO BE COMPLETE©BY.FOflV1i4RD) <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 B10- AERATE STCCKP.ILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on SOIL <br /> y <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. ❑ SLUDGE <br /> `REMARKS . <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER, <br /> ❑ WOOD <br /> SIGNATURE OF AU7HOR14 D-AGENT DATE <br /> ,__.. .. ❑ ASH <br /> 7� ❑ 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 089803 8 9 p n 3 <br /> MANIFEST# J Q V <br /> &#4W 00" <br />