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r • FORWARI-v • ., NON-HAZ�OUS WASTE MANIFEST • r I N C O R P O R A T E WASTE TRIENT AND DISPOSAL FACILITY —. JOB ACCEPTANCE NO. i ;GENERATOR REQUIRED PERSONALPROTECTIVE EQUIPMENT GLOVES [3 GOGGLES -]RESPIRATOR E) HAT LING A1i3RS ❑TY-VEK ❑OTHER - rF SPECIAL HANDLING PROCEDURES: MTE�Zip r ARSON •!:fes NATE Oi=AUTHORIZED AGENT/ TITLE. DATE TYPE. RECEIVING FACILITY ❑ SLUDGE ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH ❑ OTHER MANTECA, CALIFORNIA 95336 tENERATING FACILITY (209) 982-4298 PHONE (209) 982NAME - 1009 FAX NOTES: TRUCK NUMBER ;ADDRESS v , CITY,STAVE,ZIP PHONE END DUMP BOTTOM DUMP TRANSFER ❑ ❑ ❑ . SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT 13ED VAN DRUMS FORWARD INC. LANDFILL cuslc YARDS Forward shall have no obligation to accept the waste if weather or other conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY FOROFID) impairs the safe and effective operation of the Landfill. Forward shall use pOSI: ' St0. AERATE18�� 031!ER reasonable efforts to promptly notify Disposer of its inability to accept the r> - waste for any reason. If Forward's refusal to accept the waste is based on weather or other site conditions,Forward shall ratify the Disposer when site ❑SOIL conditions are expected to change such that Forward will be able to accept the waste. ❑ SLUDGE NON-FRIABLE ❑ ASBESTOS �jCILITYET NUMBER .. ,. i,.... ❑ WOOD Tl%RE OF AUTHORIZED:AGENT.. DATE ❑ ASH 4�. ❑ OTHER SCHEDULING MUST BE MADE PRIOR TO 4-00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. TO SCHEDULE CALL(209)982-4298 MANIFEST # 57922 SALES COPY