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FORWA NON-HAZAPDOUS WASTE MANIFEST <br /> 1.N C-0 R P O R A T 1= WASTE TROkAENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. 1 .771811 <br /> - C,ENERAMR ' REQUIRED PERSONAL <br /> PROTECTIVE EQUIPMENT <br /> awz fill.•Fara&tmy!►qrtI ' ®GLOVES []GOGGLES ❑RESPIRATOR ®HARD HAT <br /> ADDRESS N41L1NN(� <br /> - •`.>- �, ❑TYVEK ❑OTHER <br /> W Qoodym Roed <br /> CRY,STATE,ZIP: SPECIAL HANDLING PROCEDURES: <br /> PHONE: <br /> Z07)74r 2955 <br /> �;ONr T.PERSfN <br /> MAC <br /> TUBE OF I`UTHPRIZED AGENT%TITLE DATE <br /> ref+[� +'. s� J•M f — it' <br /> 01116 ,,,TYPE : . RECENING FACILITY; <br /> ;. <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSAL,SOIL ❑ WOOD <br /> CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> WEm-nNGFAcILm . a (209) 982-4298 PHONE <br /> 249 Uza Hadiag Wzy 1031OCKI'O (209) 982- 1009 FAX <br /> NAME TRACTOR LIC. ^ TRUCK NUMBER <br /> Mad asst S�cz E <br /> ADDRESS TRAILER LIC.�j1l :7jo;7 <br /> F(Vt(Ark—_SDX 579 <br /> `CITY,STATE,ZIP TRAILER LIC.# <br /> D) -4 94514 <br /> PHONE " END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF.AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFSS) FLAT=BED VAN DRUMS <br /> /� ❑ ❑ 0 ❑ <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 COMP D 8Y FORV414RD) <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 OTHER. <br /> waste for any reason. If Forward's refusal to accept the waste is based on StIL <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 AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> ' ❑ 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{208}982-4298 MANIFEST#.C 668C73. <br /> 7 <br /> Fo+(eas++n+►+)s-ea SALES COPY <br />