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0 RWARLNON-HAZ �' OUS WASTE MANIFEST <br /> WASTE TRENT AND DISPOSAL FACUTY <br /> INCQRPORAT_ED <br /> ' JOB ACCEPTANCE N0. 771$1 i <br /> ' REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> CENERATC T= @ GLOVES []GOGGLES ❑RESPIRATOR ( HARD HAT <br /> t Afi-Fat&140 ❑TY-VEK ❑OTHER <br /> ADDRESS � . . �,, .. <br /> �R,oa °•:: SPECIAL HANDLING PROCEDURES: <br /> 747-3955 <br /> DATE <br /> * 1� ,0- iu <br /> RECEINV G FACILITY <br /> TYPE <br /> ❑ SLUDGE FORWARD INC. LANDFILL <br /> (] TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS <br /> DISPOSAL SOIL C] WOOD 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> C,E�IERATINGFACILITY {209) 982-4298 PHONE <br /> a r to (209) 982- 1009 FAX <br /> 249 Ead fl*K1h*W1Y <br /> TRACTOR LIC.#�» -� TRUCK NUMBER <br /> NAME J G <br /> 'F9. TRAILER LIC. <br /> ADDRESS 'F <br /> Poral Off a$six 579 TRAILER LIC.# <br /> CITY,STATE,ZIP. <br /> $vmgCA 9514 END DUMP Y BOTTOM DUMP TRANSFER <br /> PHONE. ❑ ❑ <br /> SIGNATURE OF AUTI-IO,RIZED AGENT OR DRIVER DATE . ROLL-OFFS) <br /> FLA-BED V� DRUMS <br /> CUBIC YAR 5 <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other DISPOSAL METHOD: (TO BE COMPLETED 8Y FORV�ARD1 <br /> conditions impair the safe and effective disposal of the waste or if the waste OTHER <br /> impairs the safe aril effective operation of the Landfill. Forward shall use DISPOSE BIO AERATE mcwkE <br /> reasonable efforts to promptly notity Disposer of its inability 10 accept the <br /> waste for any reason. If Forward's refusal to accept the waste is based on ❑ � �"'� <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 ❑ SLUDGE <br /> the waste. <br /> REMARKS NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER ❑ WOOD <br /> i. <br /> SIGNATURE OF A IZED AGET DA <br /> _ ASH <br /> t OTHER --T <br /> AKE <br /> ULED LOADS <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIES MUST BEEXPESCHEDUCTED RED WITH THE LANDFILRIVAL ANY L THE DAY BEFORE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVER <br /> TO SCHEDULE CALL(209)982-4298 SALES COPY MANIFEST # C 66,8675 <br /> F01(C951 I N14)6-9e <br />